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KEUKA FAMILY PRACTICE ASSOCIATES LLP NPI 1962417352


NPI Information

NPI: 1962417352
Provider Name: KEUKA FAMILY PRACTICE ASSOCIATES LLP

Doing Business As: KEUKA FAMILY PRACTICE ASSOCIATES

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 33D0174220

Address:
7573 STATE ROUTE 54
BATH, NY
ZIP 14810
Phone: (607) 776-2247
Get Directions

KEUKA FAMILY PRACTICE ASSOCIATES LLP is a family medicine in Bath, NY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. KEUKA FAMILY PRACTICE ASSOCIATES LLP NPI is 1962417352. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Keuka Family Practice Associates.

The provider's business location address is:

7573 STATE ROUTE 54
BATH, NY
ZIP 14810-504
Phone: (607) 776-2247
Fax: (607) 776-5919

The provider's authorized official is Dennis W O'connor .
The authorized official title is Partner and has the following contact phone number (607) 776-2247.

The CLIA number assigned to this NPI record is 33D0174220 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/31/2006 and was last updated on 9/14/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1AA0788MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
200457805MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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