Organization · Type 2 NPI

Southern New York Primary Care Services Ipa, LLC

Family Medicine Physician · Monroe, NY

NPI number 1013302355 Active

Practice location

1200 State Route 208
Monroe, NY 10950-4648

Fax (855) 418-9149

Mailing address

800 N Magnolia Ave Ste 700
Orlando, FL 32803-3264

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X153414 (NY)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

12 other providers at this address

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About NPI 1013302355

Southern New York Primary Care Services Ipa, LLC's National Provider Identifier is 1013302355, issued on Apr 3, 2015. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Monroe, NY. The record was last updated on May 21, 2026.