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1013302355
SOUTHERN NEW YORK PRIMARY CARE SERVICES IPA, LLC
MONROE, NY
NPI
1013302355
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Entity Type
Organization
Authorized Contact
BRETT KENEFICK
President
888-829-8550
Organization Subpart ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 153414)
Enumeration Date
2015-04-03
Last Update Date
2021-04-27
Business Address
SOUTHERN NEW YORK PRIMARY CARE SERVICES IPA, LLC
1200 STATE ROUTE 208
MONROE, NY 10950-4648
Phone number: 888-829-8550
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Mailing Address
SOUTHERN NEW YORK PRIMARY CARE SERVICES IPA, LLC
3113 LAWTON ROAD SUITE 250
ORLANDO, FL 32803
Phone number: 888-829-8550
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