FAMILY HEALTH NETWORK OF CENTRAL NEW YORK, INC. (NPI# 1811342827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811342827 |
| Entity Type | Organization |
| Organization Name | FAMILY HEALTH NETWORK OF CENTRAL NEW YORK, INC. |
| Practice Address |
24 Groton Ave Cortland NY 13045-2014 |
| Mailing Address |
85 South West Street Homer NY 13077-0000 |
| Practice Telephone | 6077533774 |
| Mailing Telephone | 6077533797 |
| Mailing Fax Number | 6077536677 |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2019-11-11 |
| Authorized Official Name | KIMBERLY OSBORNE (CEO) |
| Authorized Official Telephone | 6077533797 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICARE PTAN | 571082 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043374853 | Family Health Network of Central New York, Inc. | Dentist | 85 South West Street, Homer, NY 13077-0000 | 2006-12-19 |
| 1780633982 | Family Health Network of Central New York, Inc. | Clinic/Center | 85 S West St, Homer, NY 13077-1542 | 2006-05-08 |
| Street Address |
24 GROTON AVE |
| City | CORTLAND |
| State | NY |
| Zip Code | 13045-2014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346245008 | George Birman | Dentist | 24 Groton Ave, Cortland, NY 13045-2014 | 2005-06-17 |
| 1184241002 | Rachelle L Sunderland | Social Worker | 24 Groton Ave, Cortland, NY 13045-2014 | 2020-06-26 |
| 1104273697 | Cheryl Dumond-martinez | Pediatrics | 24 Groton Ave, Cortland, NY 13045 | 2016-05-16 |
| 1285000232 | Megan Langevin | Nurse Practitioner | 24 Groton Ave, Cortland, NY 13045-2014 | 2015-08-13 |
| 1477985497 | Fadi Amin Alass | Pediatrics | 24 Groton Ave, Cortland, NY 13045-2014 | 2013-08-01 |
| 1861719734 | Margaret Ann Macneill | Social Worker | 24 Groton Ave, Cortland, NY 13045-2014 | 2010-04-30 |
| 1306093091 | Amy Y Difabio | Pediatrics | 24 Groton Ave, Cortland, NY 13045 | 2008-08-25 |
| 1629151691 | Tarek Y Elsafty | Dentist | 24 Groton Ave, Cortland, NY 13045-2014 | 2006-10-23 |
| 1205832151 | Ahmad Javid | Pediatrics | 24 Groton Ave, Cortland, NY 13045-2014 | 2005-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336783521 | Richie Wells Jr. | Student in an Organized Health Care Education/Training Program | Stratton Drive, Park Center Athletic Training Room, Cortland, NY 13045 | 2019-10-31 |
| 1518509504 | Paige Morrow | Occupational Therapist | 1710 Ny-13, Cortland, NY 13045 | 2019-10-11 |
| 1154972453 | Ayla Fialko | Acupuncturist | 17-29 Main Street, Suite Ll13, Cortland, NY 13045 | 2019-09-27 |
| 1043714330 | Denise Lynn Bushnell-lhommedieu | Licensed Practical Nurse | 11 Owego Street, Cortland, NY 13045 | 2018-03-21 |
| 1659817864 | Sarah Schmied | Registered Nurse | Cayuga Clinic At Kinney Drugs, 3666 Route 281, Cortland, NY 13045 | 2017-01-11 |
| 1457895278 | Mohammad Djafari Md | Physician Assistant | 15-17 Kennedy Parkway, Cortland, NY 13045 | 2016-12-13 |
| 1295125060 | Laura K May | Counselor | 17 Main St., Cortland, NY 13045 | 2015-01-30 |
| 1295081149 | Sirgany Eyecare LLC | Eyewear Supplier (Equipment, not the service) | 992 State Rte 13, Cortland, NY 13045 | 2012-07-30 |
| 1205106879 | Mary Marcella Ray | Licensed Practical Nurse | 84 Greenbush St., Cortland, NY 13045 | 2012-01-12 |
| 1326318494 | Kimberly Rowland | Registered Nurse | 2824 Page Green Rd, Cortland, NY 13045 | 2012-01-06 |
| Find all providers in zip 13045 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093946691 | Family Health Network of Central New York, Inc | Clinic/Center | 4038 West Rd, Cortland, NY 13045-1842 | 2009-07-30 |
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| 1871128371 | Regional Health Reach Inc. | Clinic/Center | 89 Genesee St Ste 1408, Rochester, NY 14611-3201 | 2020-03-05 |
| 1184263485 | Urban Health Plan, Inc. | Clinic/Center | 271 E 138th St, Bronx, NY 10454-2909 | 2020-01-03 |
| 1962040246 | Community Health Project Inc. | Clinic/Center | 40 Flatbush Avenue Extension, Brooklyn, NY 11201 | 2019-12-17 |
| 1245886753 | Care for The Homeless | Clinic/Center | 91 Junius St, Brooklyn, NY 11212-8021 | 2019-08-12 |
| 1184186496 | Oda Primary Health Care Network, Inc. | Clinic/Center | 74 Wallabout Street, Brooklyn, NY 11249 | 2019-04-04 |
| 1538621289 | Ezras Choilim Health Center, Inc. | Clinic/Center | 49 Forest Rd Fl 3, Monroe, NY 10950-2923 | 2019-04-02 |
| 1134693708 | Rochester Primary Care Network, Inc | Clinic/Center | 3 Parkside Ct Bldg 1, Utica, NY 13501-5643 | 2019-01-17 |
| 1164994190 | Morris Heights Health Center, Inc. | Clinic/Center | 1 W Burnside Ave, Bronx, NY 10453-4003 | 2019-01-02 |
| 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.