| Lakeshore Family Medicine, P.c. | |
| 
					6221 Rte 31 Suite 108 Cicero NY 13039  | |
| (315) 699-5982 | |
| (315) 699-7221 | 
| Full Name | Lakeshore Family Medicine, P.c. | 
|---|---|
| Speciality | Clinic/center - Primary Care | 
| Location | 6221 Rte 31, Cicero, New York | 
| Authorized Official Name and Position | Clyde Satterly (MD) | 
| Authorized Official Contact | 3156995982 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Lakeshore Family Medicine, P.c. 6221 Route 31 Suite 108 Cicero NY 13039 Ph: (315) 699-5982  | Lakeshore Family Medicine, P.c. 6221 Rte 31 Suite 108 Cicero NY 13039 Ph: (315) 699-5982  | 
| NPI Number | 1124229489 | 
|---|---|
| Provider Enumeration Date | 05/31/2007 | 
| Last Update Date | 08/22/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1124229489 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (New York) | Primary | 
Family Medicine Associates Of Central New York, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5586 Legionnaire Dr Ste 1, Cicero, NY 13039 Phone: 315-699-2837 Fax: 315-752-9506  |