Family Medicine Medical Service Group

LBN: Family Medicine Medical Service Group
Family Medicine Medical Service Group is an health care organization with primary practice located at 475 Irving Ave Ste 300, Syracuse NY 13210. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Family Medicine Medical Service Group can be contacted via phone (315) 464-4686, or through Epling, John W. via phone (315) 464-7003.

Contact Information

Primary practice address
475 Irving Ave Ste 300 Syracuse NY 13210
Phone: (315) 464-4686
Fax: (315) 464-7106
Website:
Map and Directions
Authorized official contact:
Name: Epling, John W. Doctor of Medicine (MD)
Phone: (315) 464-7003

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1538187075
LBN Legal business name Family Medicine Medical Service Group
DBA Doing business as
Authorized official Epling, John W. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2006
Last updated Sep 27th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538187075 NPPES
New York MEDICAID 00482320

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