BIG FLATS PRIMARY CARE NPI 1265544936

NPI Information

  • NPI: 1265544936
  • Provider Name: BIG FLATS PRIMARY CARE
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 455 MAPLE ST
    SUITE 3
    BIG FLATS, NY
    ZIP 14814
  • Phone: (607) 562-3600

Map and Directions

Get Directions

NPI Details

BIG FLATS PRIMARY CARE is a clinic center in Big Flats, NY. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). BIG FLATS PRIMARY CARE NPI is 1265544936. The provider is registered as an organization entity type.

The provider's business location address is:

455 MAPLE ST
SUITE 3
BIG FLATS, NY
ZIP 14814-701
Phone: (607) 562-3600
Fax: (607) 562-8661

The provider's authorized official is Paul Peter Povanda .
The authorized official title is Staff Physician and has the following contact phone number (607) 562-3000.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 7/16/2008.

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
1261Q00000XClinic/Center195749NEW YORKYes

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
100363126MEDICAIDNEW YORK
2R70080MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
3F83610MEDICARE UPINNEW 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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI