Healthcare Provider Details

I. General information

NPI: 1487771911
Provider Name (Legal Business Name): FINGER LAKES COMMUNITY HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 02/05/2026
Certification Date: 02/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601-B W. WASHINGTON STREET
GENEVA NY
14456
US

IV. Provider business mailing address

14 MAIDEN LN PO BOX 423
PENN YAN NY
14527-1208
US

V. Phone/Fax

Practice location:
  • Phone: 315-781-8448
  • Fax: 315-781-8444
Mailing address:
  • Phone: 315-531-9102
  • Fax: 315-531-9103

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name: MARY ANN ZELAZNY
Title or Position: CEO
Credential:
Phone: 315-531-9102