Lake Country Family Medicine, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

207638 Issued in NY

Legal business name

LAKE COUNTRY FAMILY MEDICINE, P.C.

Practice address

502 S Main St
Suite G
Canandaigua, NY 14424-2242

Phone

(585) 394-1875

Fax

(866) 285-9069

NPI assigned

Apr 15, 2009

Last updated

Apr 15, 2009By 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

Dr. Kerry W Graff, M.D.NPI 1700827375

Title

Doctor

Phone

(585) 394-1875

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kerry Widdersheim Graff, M.D.

  • Family Medicine Physician
  • Canandaigua, NY
  • NPI 1700827375
  Authorized official Same address or phone

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

{
    "created_epoch": "1239753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239753600000",
    "number": "1841433109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 S MAIN ST",
            "address_2": "SUITE G",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144242242",
            "telephone_number": "585-394-1875",
            "fax_number": "866-285-9069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 S MAIN ST",
            "address_2": "SUITE G",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144242242",
            "telephone_number": "585-394-1875",
            "fax_number": "866-285-9069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE COUNTRY FAMILY MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-15",
        "last_updated": "2009-04-15",
        "status": "A",
        "authorized_official_last_name": "GRAFF",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "585-394-1875",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "207638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02048819",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie E Labarge, LCSW
• Leigh Lafferty, FNP
• Barbara Mangari Lafler, PT, MSPT, CSRS
• Bridget C Lagro, CNM
• Anne J. Lahr, CASAC, CPP
• Lake Country Physical Therapy & Sportscare, PC
• Lakeshore Family and Cosmetic Dentistry P.C.
• Lakeside Audiology and Hearing Solutions, LLC
• Lakeside Balance and Wellness, LLC (Fyzical Therapy & Balance Canandaigua)
• Lakeside ENT & Allergy LLC.

• Family Medicine Physician in Canandaigua, NY
• Providers in Canandaigua, 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 15, 2009; 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.