Organization
FAIRMOUNT FAMILY MEDICINE PLLC
Active
Other names
Camillus Family Health Assoc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LELAND J JACKSON MD (OWNER)
(315) 234-2342
Entity
Organization
Contact information
Practice address
5006 WEST GENESEE STREET, CAMILLUS, NY 13031-2326
(315) 234-2342
(315) 234-0697
Mailing address
5006 WEST GENESEE STREET, CAMILLUS, NY 13031-2326
(315) 234-2342
(315) 234-0697
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/29/2007
Last updated
11/29/2023
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