| Sean P. Boyle | |
|
2523 State Route 31 Weedsport NY 13166-3202 | |
| (315) 834-6541 | |
| (315) 834-6919 |
| Full Name | Sean P. Boyle |
|---|---|
| Speciality | Family Medicine |
| Location | 2523 State Route 31, Weedsport, New York |
| Authorized Official Name and Position | Sean P Boyle (PHYSICIAN) |
| Authorized Official Contact | 3158346541 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sean P. Boyle 2523 State Route 31 P O Box 1095 Weedsport NY 13166-3202 Ph: (315) 834-6541 | Sean P. Boyle 2523 State Route 31 Weedsport NY 13166-3202 Ph: (315) 834-6541 |
| NPI Number | 1922150846 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922150846 | NPI | - | NPPES |
| 01523133 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 194822 (New York) | Primary |