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

Marcellus Family Medicine PLLC

Organization Non-Pharmacy Dispensing Site · NPI 1558791996

Marcellus Family Medicine PLLC is a Non-Pharmacy Dispensing Site in Marcellus, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013
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

28 E Main St
Marcellus, NY 13108-1226
Phone: (315) 673-9926
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X · Licence 127430 (NY)

Record details

NPI number1558791996
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx, Inc
Authorized official Kenny Heine — Vp Of Operations · (858) 964-1506
Other names Marcellus Family Medicine
NPI enumeratedNovember 21, 2013
Last updated in NPPESNovember 21, 2013
Mailing address5626 Oberlin Dr, Suite 110, San Diego, CA 92121-1705