| Endwell Family Physicians Llp | |
| 
					240 Riverside Dr Johnson City NY 13790-2732  | |
| (607) 754-3863 | |
| (607) 754-5697 | 
| Full Name | Endwell Family Physicians Llp | 
|---|---|
| Speciality | Family Medicine | 
| Location | 240 Riverside Dr, Johnson City, New York | 
| Authorized Official Name and Position | Kimberly M Desantis (PARTNER) | 
| Authorized Official Contact | 6077543863 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Endwell Family Physicians Llp 415 Hooper Rd Endwell NY 13760-3646 Ph: (607) 754-3863  | Endwell Family Physicians Llp 240 Riverside Dr Johnson City NY 13790-2732 Ph: (607) 754-3863  | 
| NPI Number | 1922362672 | 
|---|---|
| Provider Enumeration Date | 06/27/2012 | 
| Last Update Date | 06/27/2012 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1922362672 | NPI | - | NPPES | 
| 00557575 | Medicaid | NY | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary | 
Southern Tier Family Nurse Practitioner Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Columbia Dr Ste 203, Johnson City, NY 13790 Phone: 607-677-0011  | |
United Cerebral Palsy Assoc Of Nys Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18 Broad St, Johnson City, NY 13790 Phone: 607-217-0066  | |
Carpathian Dental Assoc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 Columbia Drive, Johnson City, NY 13790 Phone: 607-770-1122 Fax: 607-770-1176  | |
United Health Services Hospitals, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 33-57 Harrison St., Johnson City, NY 13790 Phone: 607-762-3027  |