Mohawk Glen Family Practice Pllc

NPI #1194746354 in Rome, New York

Provider Information

NPI Number: 1194746354
Entity Type: Organization
Organization Name: Mohawk Glen Family Practice Pllc
Primary Specialty: Family Medicine
Enumeration Date: Jul 22, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 91 PERIMETER RD
Address 2: SUITE 120
City: Rome
State: New York
ZIP Code: 13441-4018
Phone: (315) 336-4830

Authorized Official

Name: ANTHONY M COTRONEA, MD
Title: OWNER
Phone: (315) 336-4830

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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