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General NPI Number Information
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NPI Number | 1720316482
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Entity Type | Organization
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Legal Business Name | FINGER LAKES MIGRANT HEALTH CARE PROJECT, INC
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Dates
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Enumeration Date | 11/18/2009
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 160 MAIN STREET
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City | PENN YAN
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State | NY
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Zip | 14527-1204
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Country | US
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Telephone | 315-536-2752
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Fax | 315-531-9103
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Provider Business Mailing Address
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Address Line | 14 MAIDEN LN PO BOX 423
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City | PENN YAN
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State | NY
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Zip | 14527-1208
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Country | US
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Telephone | 315-531-9102
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Fax | 315-531-9103
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Authorized Official
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Title or Position | DIRECTOR OF SERVICES
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Name | MS. MARY A ZELAZNY
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Credential |
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Telephone | 315-531-9102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0050X
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Taxonomy Name | Non-Surgical Family Planning Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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