Prime Medical Of The Finger Lakes Pllc

LBN: Prime Medical Of The Finger Lakes Pllc
Prime Medical Of The Finger Lakes Pllc is an health care organization with primary practice located at 1150 State Route 5 And 20 , Geneva NY 14456-9543. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Prime Medical Of The Finger Lakes Pllc can be contacted via phone (315) 759-5319, or through Moussallem, Charbel G via phone (315) 663-7259.

Contact Information

Primary practice address
1150 State Route 5 And 20 Geneva NY 14456-9543
Phone: (315) 759-5319
Fax: (315) 759-5339
Website:
Map and Directions
Authorized official contact:
Name: Moussallem, Charbel G Doctor of Medicine (MD)
Phone: (315) 663-7259

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 232779-1 New York

Profile Details

NPI number 1659669588
LBN Legal business name Prime Medical Of The Finger Lakes Pllc
DBA Doing business as
Authorized official Moussallem, Charbel G Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2011
Last updated Jul 3rd, 2012 - 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 1659669588 NPPES
New York MEDICAID 03358610

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