| Family Health Network Dental Office | |
|
23 Central St Moravia NY 13118-3427 | |
| (607) 344-0052 | |
| (607) 344-0056 |
| Full Name | Family Health Network Dental Office |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 23 Central St, Moravia, New York |
| Authorized Official Name and Position | Kimberly Osborne (CEO) |
| Authorized Official Contact | 6077533797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health Network Dental Office 85 South West Street Homer NY 13077-0000 Ph: (607) 753-3797 | Family Health Network Dental Office 23 Central St Moravia NY 13118-3427 Ph: (607) 344-0052 |
| NPI Number | 1992086698 |
|---|---|
| Provider Enumeration Date | 09/08/2011 |
| Last Update Date | 01/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992086698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Family Health Network Of Central New York, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 23 Central St, Moravia, NY 13118 Phone: 315-497-9066 Fax: 315-497-3836 |