Family Medical Health of Alfred, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

201202-1 Issued in NY

Legal business name

FAMILY MEDICAL HEALTH OF ALFRED, PLLC

Practice address

28 Church St
Alfred, NY 14802-1104

Phone

(607) 587-8144

NPI assigned

Jan 19, 2010

Last updated

Apr 30, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrea Stiles

Title

Operations Manager

Phone

(607) 324-5626

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272585600000",
    "number": "1770814519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SENECA ST",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "148431312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 CHURCH ST",
            "city": "ALFRED",
            "state": "NY",
            "postal_code": "148021104",
            "telephone_number": "607-587-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL HEALTH OF ALFRED, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-19",
        "last_updated": "2010-04-30",
        "status": "A",
        "authorized_official_last_name": "STILES",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "607-324-5626"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "201202-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ian Michael Cramer, MS, ATC
• John Avelino Delcampo, D.D.S.
• Sydney Demick, FNP-C
• Rebecca C. Dennis, FNP
• Nancy Jo Evangelista, PH.D.
• Gerard M. Gingras, ATC
• Liam Patrick Glover, MBA, ATC
• Douglas Graham, ATC
• Geremy Kristan Grant, PHD
• Judith L. Grant, ANP

• Family Medicine Physician in Alfred, NY
• Providers in Alfred, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2010; 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.