| NPI | 1134557960 |
|---|---|
| Doing Business As | FARMINGTON VILLAGE FAMILY PRACTICE (NP) |
| Entity Type | Organization |
| Authorized Contact | LESLEY WILLBRANDT Director Shared Services 947-522-1911 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice |
| Enumeration Date | 2013-10-14 |
| Last Update Date | 2019-08-16 |