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NPI Code Detail

MEDICARE: FINGER LAKES COMMUNITY HEALTH

MEDICARE: FINGER LAKES COMMUNITY HEALTH
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
1261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1376882639
Entity Type Code : Organization
Provider Name (Legal Business Name) : FINGER LAKES COMMUNITY HEALTH
Provider Business Mailing Address
First Line : 14 MAIDEN LN
Second Line : PO BOX 423
City : PENN YAN
State : NY
Zip : 14527-1208
Country : US
Telephone Number : 315-531-9102
Fax Number : 315-531-9103
Provider Business Practice Location Address
First Line : 513 W UNION ST
Second Line :
City : NEWARK
State : NY
Zip : 14513-1365
Country : US
Telephone Number : 315-573-5755
Fax Number : 315-483-2451
Authorized Official
Title or Position : CEO
Name : MARY ANN ZELAZNY
Credential :
Telephone Number : 315-531-9102
Provider Enumeration Date : 02/06/2013
Last Update Date : 02/05/2026

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Directions to “FINGER LAKES COMMUNITY HEALTH ” Practice Location

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