| Gananda Family Practice | |
|
1200 Fairway 7 Macedon NY 14502-9392 | |
| (585) 922-4410 | |
| (315) 986-4888 |
| Full Name | Gananda Family Practice |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1200 Fairway 7, Macedon, New York |
| Authorized Official Name and Position | Mary Coan (PRIVATE PRACTICE) |
| Authorized Official Contact | 3159864410 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gananda Family Practice 1200 Fairway 7 Macedon NY 14502-9392 Ph: (585) 922-4410 | Gananda Family Practice 1200 Fairway 7 Macedon NY 14502-9392 Ph: (585) 922-4410 |
| NPI Number | 1740348192 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740348192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 214314 (New York) | Primary |
Gananda Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 Fairway 7, Macedon, NY 14502 Phone: 315-986-4410 Fax: 315-986-4888 | |
Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1033 Pittsford-palmyra Rd, Macedon, NY 14502 Phone: 315-986-2100 Fax: 315-986-2100 |