MEDICARE: TRI-COUNTY FAMILY MEDICINE PROGRAM, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1295939353
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRI-COUNTY FAMILY MEDICINE PROGRAM, INC.

Provider Business Mailing Address
First Line	:	10869 STATE ROUTE 36
Second Line	:
City	:	DANSVILLE
State	:	NY
Zip	:	14437-9444
Country	:	US
Telephone Number	:	585-335-3100
Fax Number	:	585-335-8695

Provider Business Practice Location Address
First Line	:	61 N STATE ST
Second Line	:
City	:	NUNDA
State	:	NY
Zip	:	14517-9785
Country	:	US
Telephone Number	:	585-468-2528
Fax Number	:	585-468-5424

Authorized Official
Title or Position	:	CEO
Name	:	KAREN A STONE
Credential	:
Telephone Number	:	585-335-3100

Provider Enumeration Date	:	06/13/2007
Last Update Date	:	12/30/2025

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