Organization
GENESEE PHYSICIAN PRACTICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE FIFIELD (PRACTICE ADMINISTRATOR)
(315) 361-2980
Entity
Organization
Contact information
Practice address
321 GENESEE ST, ONEIDA, NY 13421-2611
(315) 363-6000
Mailing address
PO BOX 2005, EAST SYRACUSE, NY 13057-4505
(315) 449-0513
(315) 362-5120
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
11/02/2015
Last updated
11/02/2015
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