Organization
GANANDA FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY COAN MD (PRIVATE PRACTICE)
(315) 986-4410
Entity
Organization
Contact information
Practice address
1200 FAIRWAY 7, MACEDON, NY 14502-9392
(585) 922-4410
(315) 986-4888
Mailing address
1200 FAIRWAY 7, MACEDON, NY 14502-9392
(585) 922-4410
(315) 986-4888
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
214314
NY
Other
Enumeration date
12/05/2006
Last updated
08/22/2020
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