| 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 |