Fairmount Family Medicine Pllc

NPI #1659491421 in Camillus, New York

Provider Information

NPI Number: 1659491421
Entity Type: Organization
Organization Name: Fairmount Family Medicine Pllc
Primary Specialty: Family Medicine
Enumeration Date: Mar 29, 2007
Last Updated: Nov 29, 2023

Practice Location

Address: 5006 WEST GENESEE STREET
City: Camillus
State: New York
ZIP Code: 13031-2326
Phone: (315) 234-2342

Authorized Official

Name: DR. LELAND J JACKSON, MD
Title: OWNER
Phone: (315) 234-2342

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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