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:
Map and Directions
Authorized official contact:
Name: Brodey, Mitchell V Doctor of Medicine (MD)
Phone: (315) 492-5784

Health care specialties

SpecialtyCodeLicense #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 11 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 1447212063 NPPES
New York MEDICAID 03459574

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