Organization
FAMILY PRACTICE ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN M CARNESE (PRACTICE ADMINISTRATOR)
(315) 622-6758
Entity
Organization
Contact information
Practice address
8280 WILLETT PKWY, SUITE 200, BALDWINSVILLE, NY 13027-1325
(315) 671-3440
(315) 671-3449
Mailing address
8100 OSWEGO RD, SUITE 220, LIVERPOOL, NY 13090-1654
(315) 652-6551
(315) 652-9698
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
228536
NY
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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