Healthcare Provider Details

I. General information

NPI: 1689224693
Provider Name (Legal Business Name): FLH MEDICAL, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2019
Last Update Date: 09/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1991 BALSLEY RD
SENECA FALLS NY
13148-6725
US

IV. Provider business mailing address

196 NORTH ST
GENEVA NY
14456-1651
US

V. Phone/Fax

Practice location:
  • Phone: 315-539-9229
  • Fax:
Mailing address:
  • Phone: 315-230-5646
  • Fax: 315-230-5645

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANDRE FORCIER
Title or Position: CHIEF ADMINISTRATIVE OFFICER
Credential:
Phone: 315-230-5643