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ONEIDA MEDICAL PRACTICE PC NPI 1184142697


NPI Information

NPI: 1184142697
Provider Name: ONEIDA MEDICAL PRACTICE, PC

Doing Business As: TRIVALLEY FAMILY MEDICINE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 33D2149091

Address:
3 CURTIS RD
VERNON, NY
ZIP 13476
Phone: (315) 829-2220
Get Directions

ONEIDA MEDICAL PRACTICE, PC is a family medicine in Vernon, 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. ONEIDA MEDICAL PRACTICE, PC NPI is 1184142697. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Trivalley Family Medicine.

The provider's business location address is:

3 CURTIS RD
VERNON, NY
ZIP 13476
Phone: (315) 829-2220
Fax: (315) 829-3955

The provider's authorized official is Harry Capone .
The authorized official title is President/medical Director and has the following contact phone number (315) 697-2033.

The CLIA number assigned to this NPI record is 33D2149091 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/5/2017 and was last updated on 8/5/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
103357884MEDICAIDNEW 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: 4/28/2024

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