Organization
CHITTENANGO MEDICAL & WELLNESS ASSOC PC
Active
Other names
LAFAYETTE HEALTHCARE ASSOCIATES, American Medwell
Organization subpart
No
Provider details
NPI number
Authorized official
BRIANNE L TRESOHLAVY (OFFICE MANAGER/BILLING MANAGER)
(315) 687-6467
Entity
Organization
Contact information
Practice address
304 GENESEE STREET, CHITTENANGO, NY 13037-1707
(315) 687-6467
(315) 251-2240
Mailing address
304 GENESEE STREET, CHITTENANGO, NY 13037-1707
(315) 687-6467
(315) 251-2240
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
01/09/2007
Last updated
01/29/2019
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