Organization
DRYDEN FAMILY MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MASON MICHAEL SOPCHAK DO (PARTNER)
(607) 844-8181
Entity
Organization
Contact information
Practice address
5 EVERGREEN STREET, DRYDEN, NY 13053
(607) 844-5251
Mailing address
108 E 14TH ST, ELMIRA HEIGHTS, NY 14903-1318
(607) 734-9539
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03886197
—
NY
Enumeration date
05/16/2006
Last updated
10/28/2021
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