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

Scottsville Family Medicine, LLC

Organization Family Medicine Physician · NPI 1679978647

Scottsville Family Medicine, LLC is a Family Medicine Physician in Scottsville, New York. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

32B Main St
Scottsville, NY 14546-1353
Phone: (585) 571-4868
Fax: (585) 348-2100
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (NY)

Record details

NPI number1679978647
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Johanna Nieboer — Billing Coordinator · (585) 594-5995
NPI enumeratedNovember 3, 2014
Last updated in NPPESNovember 3, 2014
Mailing addressP O Box 45, 32b Main Street, Scottsville, NY 14546-1353