Organization
BLOOMFIELD FAMILY PRACTICE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT MARK YAVOREK MD (PRESIDENT)
(585) 202-5353
Entity
Organization
Contact information
Practice address
6032 WOODVINE RISE, CANANDAIGUA, NY 14424-8277
(585) 202-5022
Mailing address
6032 WOODVINE RISE, CANANDAIGUA, NY 14424-8277
(585) 202-5022
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
195888
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01695830
—
NY
Enumeration date
07/30/2006
Last updated
07/18/2023
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