| Pittsford Family Medicine | |
|
135 Sullys Trl Suite 7 Pittsford NY 14534-4564 | |
| (585) 662-5680 | |
| (585) 662-5679 |
| Full Name | Pittsford Family Medicine |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 135 Sullys Trl, Pittsford, New York |
| Authorized Official Name and Position | Eric Wilcox (PHYSICIAN) |
| Authorized Official Contact | 5856625680 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pittsford Family Medicine 135 Sullys Trl Suite 7 Pittsford NY 14534-4564 Ph: (585) 662-5680 | Pittsford Family Medicine 135 Sullys Trl Suite 7 Pittsford NY 14534-4564 Ph: (585) 662-5680 |
| NPI Number | 1932370897 |
|---|---|
| Provider Enumeration Date | 03/19/2008 |
| Last Update Date | 03/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932370897 | NPI | - | NPPES |
| 1548283518 | Other | INDIVIDUAL NPI # | |
| 7484951 | Other | NY | AETNA PROVIDER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 243056 (New York) | Primary |
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Chung H. Kim Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 Office Park Way, Suite B, Pittsford, NY 14534 Phone: 585-381-1860 Fax: 585-381-2269 | |
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