Organization
GREENFIELD COUNTRY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMA LORYNN PEACOCK BIRSETT M.D. (M.D./OWNER)
(518) 258-0615
Entity
Organization
Contact information
Practice address
3100 ROUTE 9N, GREENFIELD CENTER, NY 12833-1711
(518) 268-0615
(518) 348-1279
Mailing address
3100 ROUTE 9N, P.O.BOX 159, GREENFIELD CENTER, NY 12833-1711
(518) 268-0615
(518) 348-1279
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
239931
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
239931
NYS LICENSE
NY
Enumeration date
06/14/2006
Last updated
03/07/2023
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