Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crooked Lake Family Medicine

Organization Family Medicine Physician · NPI 1992946891

Crooked Lake Family Medicine is a Family Medicine Physician in Penn Yan, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009

Practice location Address checks out

1930 Pre Emption Rd
Penn Yan, NY 14527-9641
Phone: (315) 536-0086
Fax: (315) 536-4107
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 209529 (NY)

Record details

NPI number1992946891
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Walk-Reinard — Owner · (315) 536-0086
NPI enumeratedMarch 23, 2009
Last updated in NPPESMarch 23, 2009
Mailing addressPo Box 1077, Geneva, NY 14456-8077

Other providers in Penn Yan