Organization
FAMILY HEALTH MEDICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEAH KINAL (CREDENTIALING MANAGER)
(716) 338-0022
Entity
Organization
Contact information
Practice address
103 ALLEN ST, JAMESTOWN, NY 14701-6968
(716) 338-0022
(716) 338-1567
Mailing address
103 ALLEN ST, JAMESTOWN, NY 14701-6968
(716) 338-0022
(716) 338-1567
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02849278
—
NY
01
—
GRP512246001
BCBSWNY
NY
Enumeration date
09/14/2006
Last updated
09/17/2024
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