Familycare Medical Group, Pc
LBN: Familycare Medical Group, Pc
Familycare Medical Group, Pc is an health care organization with primary practice located at 1001 W Fayette St Ste 400, Syracuse NY 13204-2859. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Laboratories / Clinical Medical Laboratory, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Familycare Medical Group, Pc can be contacted via phone (315) 472-1488, or through Brodey, Mitchell V via phone (315) 492-5784.
Contact Information
Primary practice address
1001 W Fayette St Ste 400
Syracuse NY 13204-2859
Phone: (315) 472-1488
Fax: (315) 883-5405
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ||
Laboratories / Clinical Medical Laboratory | 291U00000X | ||
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
NPI number | 1447212063 |
---|---|
LBN Legal business name | Familycare Medical Group, Pc |
DBA Doing business as | |
Authorized official | Brodey, Mitchell V Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Apr 6th, 2006 |
Last updated | Mar 11th, 2013 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1447212063 | NPPES |
New York | MEDICAID | 03459574 |
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