| NPI | 1992112387 |
|---|---|
| Doing Business As | FAMILY MEDICINE OF NORTHERN NEW YORK |
| Entity Type | Organization |
| Authorized Contact | JILL LAUREANO-SURBER Owner 315-755-2560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 271910) |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2024-01-12 |