Crooked Lake Family Medicine

NPI #1992946891 in Penn Yan, New York

Provider Information

NPI Number: 1992946891
Entity Type: Organization
Organization Name: Crooked Lake Family Medicine
Primary Specialty: Family Medicine
Enumeration Date: Mar 23, 2009
Last Updated: Mar 23, 2009

Practice Location

Address: 1930 PRE EMPTION RD
City: Penn Yan
State: New York
ZIP Code: 14527-9641
Phone: (315) 536-0086

Authorized Official

Name: LISA WALK-REINARD, MD
Title: OWNER
Phone: (315) 536-0086

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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