Organization
FINGER LAKES MEDICAL GROUP
Active
Other names
Finger Lakes Medical Associates, LLP
Organization subpart
No
Provider details
NPI number
Authorized official
MARK RYAN M.D. (MANAGING PARTNER)
(315) 787-5199
Entity
Organization
Contact information
Practice address
200 NORTH ST, SUITE 101, GENEVA, NY 14456-1561
(315) 787-5100
(315) 787-5108
Mailing address
200 NORTH ST, SUITE 101, GENEVA, NY 14456-1561
(315) 787-5100
(315) 787-5108
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RN0300X
Nephrology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
208800000X
Urology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02382869
—
NY
Enumeration date
11/21/2006
Last updated
02/26/2015
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