Fayetteville Family Physician, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

2462581 Issued in NY

Legal business name

FAYETTEVILLE FAMILY PHYSICIAN, PLLC

Practice address

6834 E Genesee St
Fayetteville, NY 13066-1021

Phone

(315) 214-3999

Fax

(347) 772-3132

NPI assigned

Oct 27, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Hdayatu Salawu, M.D.

Title

Physician

Phone

(315) 214-3999

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adekola Alao, M.D.

  • Psychiatry Physician
  • Syracuse, NY
  • NPI 1265457196
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319673600000",
    "number": "1164708707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6834 EAST GENESEE STREET",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "13066",
            "telephone_number": "315-214-3999",
            "fax_number": "347-772-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6834 E GENESEE ST",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661021",
            "telephone_number": "315-214-3999",
            "fax_number": "347-772-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYETTEVILLE FAMILY PHYSICIAN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-27",
        "last_updated": "2011-10-27",
        "status": "A",
        "authorized_official_last_name": "SALAWU",
        "authorized_official_first_name": "HDAYATU",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "315-214-3999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "2462581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Medical Care of Dewitt PLLC
• Sara Lou Farchione, MD
• Fateh Supply Inc
• Fayetteville Dental Associates
• Fayetteville Family Dentistry
• Amin Fazeli, MD
• Samantha Hannah Fehr
• Robert Feldman, MD
• Andrew L Finley, MD
• Firefly Therapy Services

• Primary Care Clinic/Center in Fayetteville, NY
• Providers in Fayetteville, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.