Fayetteville Family Physician, PLLC
Fayetteville Family Physician, PLLC is a Primary Care Clinic/Center in Fayetteville, New York. Licensed in New York. Registered with an NPI since 2011.
- Licensed in
- NY
- In the registry since
- 2011
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
6834 E Genesee StFayetteville, NY 13066-1021
Phone: (315) 214-3999
Fax: (347) 772-3132
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X · Licence 2462581 (NY) |
|---|
Record details
| NPI number | 1164708707 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Hdayatu Salawu — Physician · (315) 214-3999 |
| NPI enumerated | October 27, 2011 |
| Last updated in NPPES | October 27, 2011 |
| Mailing address | 6834 East Genesee Street, Fayetteville, NY 13066 |