Southern New York Primary Care Services Ipa, LLC

NPI #1013302355 in Monroe, New York

Provider Information

NPI Number: 1013302355
Entity Type: Organization
Organization Name: Southern New York Primary Care Services Ipa, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: VAXCARE CORPORATION
Primary Specialty: Family Medicine
Enumeration Date: Apr 3, 2015
Last Updated: Apr 27, 2021

Practice Location

Address: 1200 STATE ROUTE 208
City: Monroe
State: New York
ZIP Code: 10950-4648
Phone: (888) 829-8550

Authorized Official

Name: MR. BRETT KENEFICK
Title: PRESIDENT
Phone: (888) 829-8550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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