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33D0685589 CLIA NUMBER - PREVENTIVE MEDICINE ASSOCIATES PLLC

Laboratory Demographics

CLIA Number: 33D0685589

Facility Name: PREVENTIVE MEDICINE ASSOCIATES PLLC

Facility Address:
5415 W GENESEE STREET SUITE 301
CAMILLUS, NY
ZIP 13031
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Facility Phone Number: 315 487-8109

Facility Type: Physician Office

Certificate Type: Accreditation
NPI Number: 1710099304

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 33D0685589
LAB Type Physician Office
Facility Name PREVENTIVE MEDICINE ASSOCIATES PLLC
Street 5415 W GENESEE STREET SUITE 301
City CAMILLUS
State NY
ZIP 13031
Phone 315 487-8109
CertificateType 1
CertificateEffectiveDate 12/23/2023
CertificateExpirationDate 12/22/2025
FacilityType Accreditation

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This page was last updated on: 4/23/2024