| Pembroke Family Medicine | |
|
860 Main Road Corfu NY 14036-9753 | |
| (585) 599-6446 | |
| (585) 599-3166 |
| Full Name | Pembroke Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 860 Main Road, Corfu, New York |
| Authorized Official Name and Position | Mary E Obear (OWNER) |
| Authorized Official Contact | 5855996446 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pembroke Family Medicine 860 Main Road Corfu NY 14036-9753 Ph: (585) 599-6446 | Pembroke Family Medicine 860 Main Road Corfu NY 14036-9753 Ph: (585) 599-6446 |
| NPI Number | 1780698555 |
|---|---|
| Provider Enumeration Date | 07/28/2006 |
| Last Update Date | 11/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780698555 | NPI | - | NPPES |
| 03044906 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
Oak Orchard Community Health Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 860 Main Rd, Corfu, NY 14036 Phone: 585-599-6446 Fax: 585-599-3166 |