| Dryden Family Medicine, Pllc | |
| 
					5 Evergreen Street Dryden NY 13053  | |
| (607) 844-5251 | |
| Not Available | 
| Full Name | Dryden Family Medicine, Pllc | 
|---|---|
| Speciality | Family Medicine | 
| Location | 5 Evergreen Street, Dryden, New York | 
| Authorized Official Name and Position | Mason Michael Sopchak (PARTNER) | 
| Authorized Official Contact | 6078448181 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dryden Family Medicine, Pllc 108 E 14th St Elmira Heights NY 14903-1318 Ph: (607) 734-9539  | Dryden Family Medicine, Pllc 5 Evergreen Street Dryden NY 13053 Ph: (607) 844-5251  | 
| NPI Number | 1689626053 | 
|---|---|
| Provider Enumeration Date | 05/16/2006 | 
| Last Update Date | 10/28/2021 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1689626053 | NPI | - | NPPES | 
| 03886197 | Medicaid | NY | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |