| NPI | 1871521153 |
|---|---|
| Other Name | FARMINGTON VILLAGE FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | LESLEY WILLBRANDT Director Shared Services 947-522-1911 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2019-08-21 |