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

Southern New York Primary Care Services IPA, LLC

Organization Family Medicine Physician · NPI 1013302355

Southern New York Primary Care Services IPA, LLC is a Family Medicine Physician in Monroe, New York. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015
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

1200 State Route 208
Monroe, NY 10950-4648
Phone: (888) 829-8550
Fax: (855) 418-9149
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 153414 (NY)

Record details

NPI number1013302355
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationVaxcare Corporation
Authorized official Brett Kenefick — President · (888) 829-8550
NPI enumeratedApril 3, 2015
Last updated in NPPESMay 21, 2026
Certification dateMay 21, 2026
Mailing address800 N Magnolia Ave Ste 700, Orlando, FL 32803-3264

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