Familycare Medical Group, PC

NPI #1447212063 in Syracuse, New York

Provider Information

NPI Number: 1447212063
Entity Type: Organization
Organization Name: Familycare Medical Group, PC
Primary Specialty: Family Medicine
Enumeration Date: Apr 6, 2006
Last Updated: Mar 11, 2013

Practice Location

Address: 1001 W FAYETTE ST
Address 2: STE 400
City: Syracuse
State: New York
ZIP Code: 13204-2859
Phone: (315) 472-1488

Authorized Official

Name: MITCHELL V BRODEY, MD
Title: PRESIDENT
Phone: (315) 492-5784

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Obstetrics & Gynecology	207V00000X
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Clinical Medical Laboratory	291U00000X
Family Medicine	207Q00000X	Primary

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