Fayetteville Family Physician, Pllc
NPI #1164708707 in Fayetteville, New York
Provider Information
- NPI Number
- 1164708707
- Entity Type
- Organization
- Organization Name
- Fayetteville Family Physician, Pllc
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Oct 27, 2011
- Last Updated
- Oct 27, 2011
Practice Location
- Address
- 6834 E GENESEE ST
- City
- Fayetteville
- State
- New York
- ZIP Code
- 13066-1021
- Phone
- (315) 214-3999
Authorized Official
- Name
- DR. HDAYATU SALAWU, M.D.
- Title
- PHYSICIAN
- Phone
- (315) 214-3999
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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