Active NPI
Tri-County Family Medicine Program, Inc.
- Family Medicine Physician
- Canaseraga, NY
National Provider Identifier
1649474701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- TRI-COUNTY FAMILY MEDICINE PROGRAM, INC.
- Practice address
- 12 N Church St
Canaseraga, NY 14822-9721 - Phone
- (607) 545-2111
- Fax
- (607) 545-2100
- NPI assigned
- Jun 13, 2007
- Last updated
- Jun 16, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen A Stone
- Title
- Ceo
- Phone
- (585) 519-1575
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
12 N Church St
Canaseraga, NY 14822-9721
Mailing address
10869 State Route 36
Dansville, NY 14437-9444
Phone (585) 335-3100
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781568000000",
"number": "1649474701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10869 STATE ROUTE 36",
"city": "DANSVILLE",
"state": "NY",
"postal_code": "144379444",
"telephone_number": "585-335-3100",
"fax_number": "585-335-8695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 N CHURCH ST",
"city": "CANASERAGA",
"state": "NY",
"postal_code": "148229721",
"telephone_number": "607-545-2111",
"fax_number": "607-545-2100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRI-COUNTY FAMILY MEDICINE PROGRAM, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-13",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A",
"authorized_official_last_name": "STONE",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "585-519-1575"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canaseraga, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.