Evergreen Family Medicine, PC

NPI #1528164936 in Brockport, New York

Provider Information

NPI Number: 1528164936
Entity Type: Organization
Organization Name: Evergreen Family Medicine, PC
Primary Specialty: Family Medicine
Enumeration Date: Sep 15, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 4079 LAKE RD N
City: Brockport
State: New York
ZIP Code: 14420-1517
Phone: (585) 637-0151

Authorized Official

Name: DR. DAVID MICHAEL NEWMAN, MD
Title: PRESIDENT
Phone: (585) 637-0151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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