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

Fairgrounds Family Physicians PLLC

Organization Family Medicine Physician · NPI 1174690440

Fairgrounds Family Physicians PLLC is a Family Medicine Physician in Manlius, New York. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

115 Fairgrounds Dr
Manlius, NY 13104
Phone: (315) 682-6165
Fax: (615) 682-7929
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1174690440
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Philip Kaplan — Member · (315) 682-6165
NPI enumeratedNovember 29, 2006
Last updated in NPPESJanuary 9, 2025
Certification dateJanuary 9, 2025
Mailing address115 Fairgrounds Drive, Manlius, NY 13104

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