Organization
EVERGREEN FAMILY MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MICHAEL NEWMAN MD (PRESIDENT)
(585) 637-0151
Entity
Organization
Contact information
Practice address
4079 LAKE RD N, BROCKPORT, NY 14420-1517
(585) 637-0151
(585) 637-0562
Mailing address
4079 LAKE RD N, BROCKPORT, NY 14420-1517
(585) 637-0151
(585) 637-0562
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NY
Other
Enumeration date
09/15/2006
Last updated
08/22/2020
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