Eden Primary Care

NPI #1154071934 in Eden, New York

Provider Information

NPI Number: 1154071934
Entity Type: Organization
Organization Name: Eden Primary Care
Primary Specialty: Internal Medicine
Enumeration Date: Mar 25, 2022
Last Updated: Aug 6, 2022

Practice Location

Address: 8274 N MAIN ST
City: Eden
State: New York
ZIP Code: 14057-1104
Phone: (716) 725-8114

Authorized Official

Name: BRIGID O'GORMAN, MD
Title: OWNER
Phone: (716) 575-7282

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Family Medicine - Geriatric Medicine — Geriatric Medicine	207QG0300X
Internal Medicine	207R00000X	Primary

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