Organization
ENDWELL FAMILY PHYSICIANS LLP
Active
Parent organization
ENDWELL FAMILY PHYSICAINS LLP
Other names
EFP Riverside Dr
Organization subpart
Yes
Provider details
NPI number
Legal business name
ENDWELL FAMILY PHYSICAINS LLP
Authorized official
DR. KIMBERLY M DESANTIS M.D. (PARTNER)
(607) 754-3863
Entity
Organization
Contact information
Practice address
240 RIVERSIDE DR, JOHNSON CITY, NY 13790-2732
(607) 754-3863
(607) 754-5697
Mailing address
415 HOOPER RD, ENDWELL, NY 13760-3646
(607) 754-3863
(607) 754-5697
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00557575
—
NY
Enumeration date
06/27/2012
Last updated
06/27/2012
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