| Scottsville Family Medicine, Llc | |
| 
					32b Main Street Scottsville NY 14546-1353  | |
| (585) 571-4868 | |
| (585) 348-2100 | 
| Full Name | Scottsville Family Medicine, Llc | 
|---|---|
| Speciality | Family Medicine | 
| Location | 32b Main Street, Scottsville, New York | 
| Authorized Official Name and Position | Johanna Nieboer (BILLING COORDINATOR) | 
| Authorized Official Contact | 5855945995 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Scottsville Family Medicine, Llc P O Box 45 32b Main Street Scottsville NY 14546-1353 Ph: (585) 571-4868  | Scottsville Family Medicine, Llc 32b Main Street Scottsville NY 14546-1353 Ph: (585) 571-4868  | 
| NPI Number | 1679978647 | 
|---|---|
| Provider Enumeration Date | 11/03/2014 | 
| Last Update Date | 11/03/2014 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1679978647 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | (New York) | Primary |