| Clyde Family Health Center | |
|
4 W Genesee St Clyde NY 14433-1126 | |
| (315) 923-3640 | |
| Not Available |
| Full Name | Clyde Family Health Center |
|---|---|
| Speciality | Family Medicine |
| Location | 4 W Genesee St, Clyde, New York |
| Authorized Official Name and Position | Trisha Koczent (CFO & TREASURER) |
| Authorized Official Contact | 3157874030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clyde Family Health Center 4 W Genesee St Clyde NY 14433-1126 Ph: (315) 923-3640 | Clyde Family Health Center 4 W Genesee St Clyde NY 14433-1126 Ph: (315) 923-3640 |
| NPI Number | 1255087003 |
|---|---|
| Provider Enumeration Date | 03/01/2022 |
| Last Update Date | 03/01/2022 |
| Certification Date | 03/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255087003 | NPI | - | NPPES |
| 03029229 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |