Modena Family Practice, PC

NPI #1912981044 in Modena, New York

Provider Information

NPI Number: 1912981044
Entity Type: Organization
Organization Name: Modena Family Practice, PC
Primary Specialty: Family Medicine
Enumeration Date: Dec 1, 2005
Last Updated: Feb 24, 2011

Practice Location

Address: 2044 ROUTE 32
Address 2: SUITE 4
City: Modena
State: New York
ZIP Code: 12548
Phone: (845) 883-5176

Authorized Official

Name: DR. FRANCIS C MAYLE III, MD
Title: DOCTOR/OWNER
Phone: (845) 883-5176

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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