Organization
BETHANY VILLAGE PRIMARY CARE NETWORK, INC.
Active
Other names
Finger Lakes Urgent Care and Primary Care Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL KISER CPA (CHIEF FINANCIAL OFFICER)
(607) 378-6574
Entity
Organization
Contact information
Practice address
2977 WESTINGHOUSE RD, HORSEHEADS, NY 14845-8120
(607) 378-6662
(607) 378-6668
Mailing address
2977 WESTINGHOUSE RD, HORSEHEADS, NY 14845-8120
(607) 378-6662
(607) 378-6668
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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