NPI | 1093946691 |
---|---|
Doing Business As | CORTLAND FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | KIMBERLY OSBORNE CEO 607-753-3797 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2009-07-30 |
Last Update Date | 2022-01-10 |