Upstate Family and Preventive Medicine, INC

NPI #1073988911 in Syracuse, New York

Provider Information

NPI Number: 1073988911
Entity Type: Organization
Organization Name: Upstate Family and Preventive Medicine, INC
Primary Specialty: Family Medicine
Enumeration Date: Dec 3, 2015
Last Updated: Dec 4, 2015

Practice Location

Address: 475 IRVING AVE
Address 2: SUITE 200
City: Syracuse
State: New York
ZIP Code: 13210
Phone: (315) 464-4686

Authorized Official

Name: JOHN EPLING
Title: CHAIRMAN
Phone: (315) 464-4686

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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