PITTSFORD FAMILY MEDICINE PLLC (NPI# 1932370897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932370897 |
| Entity Type | Organization |
| Organization Name | PITTSFORD FAMILY MEDICINE PLLC |
| Other Organization Name | PITTSFORD FAMILY MEDICINE |
| Practice Address |
135 Sullys Trl Suite 7 Pittsford NY 14534-4564 |
| Practice Telephone | 5856625680 |
| Practice Fax Number | 5856625679 |
| Mailing Telephone | 5856625680 |
| Mailing Fax Number | 5856625679 |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2008-03-19 |
| Authorized Official Name | DR. ERIC WILCOX (PHYSICIAN) |
| Authorized Official Telephone | 5856625680 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
243056 | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| INDIVIDUAL NPI # | 1548283518 | 01 | |
| NY | AETNA PROVIDER ID | 7484951 | 01 |
| Other Name | Type Code |
|---|---|
| PITTSFORD FAMILY MEDICINE | Other Name - Individual/Organization |
| Street Address |
135 SULLYS TRL SUITE 7 |
| City | PITTSFORD |
| State | NY |
| Zip Code | 14534-4564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922061399 | Ramona Lisa Stein | Audiologist | 135 Sullys Trl, Suite 10, Pittsford, NY 14534-4564 | 2006-04-07 |
| 1770107930 | Alexander P Kuehl | Chiropractor | 135 Sullys Trl, Ste 5, Pittsford, NY 14534-4564 | 2020-06-03 |
| 1568866242 | Sounds for Life of Pittsford Ny LLC | Audiologist | 135 Sullys Trl, Suite 10, Pittsford, NY 14534-4564 | 2014-10-09 |
| 1417386806 | Kanoa General | Massage Therapist | 135 Sullys Trl, Suite 3, Pittsford, NY 14534-4564 | 2013-11-06 |
| 1710235536 | Comprehensive Dermatology of Rochester, Pllc | Dermatology | 135 Sullys Trl, Suite 7, Pittsford, NY 14534-4564 | 2012-08-28 |
| 1356697882 | Vilensky Upstate Medicine PC | Pain Medicine | 135 Sullys Trl, Ste 5, Pittsford, NY 14534-4564 | 2012-08-02 |
| 1710283791 | Rochester Physicians, Pllc | Anesthesiology | 135 Sullys Trl, Suite 5, Pittsford, NY 14534-4564 | 2011-02-08 |
| 1366457814 | Manasi Kadam Ladrigan | Dermatology | 135 Sullys Trl, Suite 7, Pittsford, NY 14534-4564 | 2006-07-30 |
| 1902827314 | Vincent Fasanello | Psychologist | 135 Sullys Trl, Ste 11, Pittsford, NY 14534-4564 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588273882 | Arbor Health Inc | Nutritionist | 613 Pittsford Victor Rd, Pittsford, NY 14534 | 2020-07-23 |
| 1619448990 | Azita Anissi Dds | Dentist | 121 Sullys Trail Suite 1, Pittsford, NY 14534 | 2018-12-11 |
| 1831697309 | Meaza Teklemariam | Registered Nurse | 2 Pin Hook Lane, Pittsford, NY 14534 | 2018-01-30 |
| 1386099356 | Bryan Robert Harrison | Psychologist | 610 Pittsford Victor Rd, Pittsford, NY 14534 | 2016-04-27 |
| 1942677323 | Dr. Anthony L. Ricci, Dds | Dentist | 135 Sully's Trail Suite 1, Pittsford, NY 14534 | 2015-09-01 |
| 1164782132 | George Francis Walsh Jr. | Obstetrics & Gynecology | 16 Kerrygold Way, Pittsford, NY 14534 | 2012-05-23 |
| 1346531878 | Samantha Lynne Saccento | Massage Therapist | 135 Sully's Trail Suite 6, Pittsford, NY 14534 | 2011-05-02 |
| 1093027252 | Brandon James Erdle | Dermatology | 6 Rambling Woods, Pittsford, NY 14534 | 2010-07-05 |
| 1760711576 | Finger Lakes Infectious Diseases, Pllc | Internal Medicine | 10 Brakenberry Road, Pittsford, NY 14534 | 2009-12-08 |
| 1477789030 | Mary Lou Testa | Counselor | 20 Tobey Village Way, Suite 7, Pittsford, NY 14534 | 2009-06-09 |
| Find all providers in zip 14534 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1033718085 | Palliative Care Consulting Services | Clinic/Center | 1188 Fox St, Bronx, NY 10459-1810 | 2020-10-21 |
| 1821601352 | Xian Medical Care PC | Clinic/Center | 2010 Bay Ridge Pkwy, Brooklyn, NY 11204-5925 | 2020-08-25 |
| 1952920795 | Divine Medical LLC | Clinic/Center | 13163 233rd St # 1, Rosedale, NY 11422-1305 | 2020-04-12 |
| 1972159333 | Ap Medical Care PC | Clinic/Center | 3506 73rd St Ste 2, Jackson Heights, NY 11372-4104 | 2019-08-12 |
| 1982258422 | Schenk Primary Care Medicine, Pllc | Clinic/Center | 2350 Maple Road Suite 100, Amherst, NY 14221 | 2019-08-01 |
| 1356993976 | Mingzhu Medical Office, P.C. | Clinic/Center | 5615 7th Ave Fl 2, Brooklyn, NY 11220-3509 | 2019-07-13 |
| 1417509357 | Henderson Health Services Family Nurse Practitioner Pllc | Clinic/Center | 4 Clarion Dr, White Plains, NY 10603-2868 | 2019-07-11 |
| 1154988897 | Bissalam Medical LLC | Clinic/Center | 3391 3rd Ave Ste 1, Bronx, NY 10456-5355 | 2019-05-28 |
| 1851859961 | Lower Westchester Medical Associates, P.C. | Clinic/Center | 105 Stevens Ave Ste 305306, Mount Vernon, NY 10550-2686 | 2019-03-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.