| Family Medicine Associates Of Central New York, P.c. | |
| 
					5586 Legionnaire Dr Ste 1 Cicero NY 13039-3504  | |
| (315) 699-2837 | |
| (315) 752-9506 | 
| Full Name | Family Medicine Associates Of Central New York, P.c. | 
|---|---|
| Speciality | Family Medicine | 
| Location | 5586 Legionnaire Dr Ste 1, Cicero, New York | 
| Authorized Official Name and Position | J Kelly Telonis (OFFICE MANAGER) | 
| Authorized Official Contact | 3154557610 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Family Medicine Associates Of Central New York, P.c. 5586 Legionnaire Dr Ste 1 Cicero NY 13039-3504 Ph: (315) 699-2837  | Family Medicine Associates Of Central New York, P.c. 5586 Legionnaire Dr Ste 1 Cicero NY 13039-3504 Ph: (315) 699-2837  | 
| NPI Number | 1811914567 | 
|---|---|
| Provider Enumeration Date | 07/17/2006 | 
| Last Update Date | 12/30/2014 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1811914567 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary | 
Lakeshore Family Medicine, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6221 Rte 31, Suite 108, Cicero, NY 13039 Phone: 315-699-5982 Fax: 315-699-7221  |