| Family Health Network Of Central New York, Inc. | |
|
85 South West Street Homer NY 13077-0000 | |
| (607) 753-3797 | |
| (607) 753-6677 |
| Full Name | Family Health Network Of Central New York, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 85 South West Street, Homer, New York |
| Authorized Official Name and Position | Kimberly Osborne (CEO) |
| Authorized Official Contact | 6077533797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health Network Of Central New York, Inc. 85 S West St Homer NY 13077-1542 Ph: (607) 753-3797 | Family Health Network Of Central New York, Inc. 85 South West Street Homer NY 13077-0000 Ph: (607) 753-3797 |
| NPI Number | 1043374853 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 10/09/2023 |
| Medicare PECOS PAC ID | 2668385014 |
|---|---|
| Medicare Enrollment ID | O20031111000423 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043374853 | NPI | - | NPPES |
| 00474144 | Medicaid | NY |
| Provider Name | Douglas A Rahner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790773745 PECOS PAC ID: 1557390408 Enrollment ID: I20050810000975 |
| Provider Name | Zbigniew Lukawski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659425197 PECOS PAC ID: 1254476112 Enrollment ID: I20100303000120 |
| Provider Name | Kelly J Hirsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619959343 PECOS PAC ID: 2466769575 Enrollment ID: I20161128001644 |
| Provider Name | Nancy A. Dickerson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801010038 PECOS PAC ID: 4688935430 Enrollment ID: I20180219002228 |
| Provider Name | Jeannie Lynne Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568926434 PECOS PAC ID: 1557602620 Enrollment ID: I20190418001284 |
| Provider Name | Nikkie S Strauf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720641129 PECOS PAC ID: 7517290885 Enrollment ID: I20190531002232 |
| Provider Name | Samantha A Dinse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306312145 PECOS PAC ID: 0446587026 Enrollment ID: I20190805001740 |
| Provider Name | Ashley Yonsook Ki |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1356409817 PECOS PAC ID: 4880020940 Enrollment ID: I20200207002417 |
| Provider Name | Maximo Jose D'oleo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356598973 PECOS PAC ID: 0840621843 Enrollment ID: I20200507000185 |
| Provider Name | Kelly Noble |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619361821 PECOS PAC ID: 1153668595 Enrollment ID: I20201222001096 |
| Provider Name | Yvonne Marie Starner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508018102 PECOS PAC ID: 8123427952 Enrollment ID: I20210528000144 |
| Provider Name | Teresa Dodge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952069684 PECOS PAC ID: 8527450584 Enrollment ID: I20220125000794 |
| Provider Name | Heather Bolduc Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659158616 PECOS PAC ID: 6103274147 Enrollment ID: I20231130003129 |
| Provider Name | Heather June Teribury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902669013 PECOS PAC ID: 8729423082 Enrollment ID: I20240227002521 |
| Provider Name | Caitlin M Atwater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043058753 PECOS PAC ID: 8325571805 Enrollment ID: I20241023002475 |
| Provider Name | Melissa Aimee Vorhis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518687995 PECOS PAC ID: 6901335827 Enrollment ID: I20250122002144 |