Organization
PITTSFORD FAMILY MEDICINE PLLC
Active
Other names
PITTSFORD FAMILY MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC WILCOX D.O. (PHYSICIAN)
(585) 662-5680
Entity
Organization
Contact information
Practice address
135 SULLYS TRL, SUITE 7, PITTSFORD, NY 14534-4564
(585) 662-5680
(585) 662-5679
Mailing address
135 SULLYS TRL, SUITE 7, PITTSFORD, NY 14534-4564
(585) 662-5680
(585) 662-5679
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
243056
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548283518
INDIVIDUAL NPI #
—
01
—
7484951
AETNA PROVIDER ID
NY
Enumeration date
03/19/2008
Last updated
03/19/2008
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