FAMILYCARE MEDICAL GROUP PC NPI 1225459175

NPI Information

FAMILYCARE MEDICAL GROUP PC is a non pharmacy dispensing site in Syracuse, NY. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) FAMILYCARE MEDICAL GROUP PC NPI is 1225459175. The provider is registered as an organization entity type.
The provider Is Doing Business As Brighton Medical Associates.

The provider's business location address is:

182 INTREPID LN
SYRACUSE, NY
ZIP 13205-545
Phone: (315) 218-7020

The provider's authorized official is Scott Peterson .
The authorized official title is Cfo and has the following contact phone number (858) 628-2990.

The CLIA number assigned to this NPI record is 33D0713543 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/19/2013 and was last updated on 1/13/2017.

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:

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