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

Fairmount Family Medicine PLLC

Organization Family Medicine Physician · NPI 1659491421

Fairmount Family Medicine PLLC is a Family Medicine Physician in Camillus, New York. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

5006 W Genesee St
Camillus, NY 13031-2326
Phone: (315) 234-2342
Fax: (315) 234-0697
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 number1659491421
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leland Jackson — Owner · (315) 234-2342
Other names Camillus Family Health Assoc; Camillus Family Health Assoc
NPI enumeratedMarch 29, 2007
Last updated in NPPESNovember 29, 2023
Certification dateNovember 29, 2023
Mailing address5006 West Genesee Street, Camillus, NY 13031-2326

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