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NPI Code Detail

MEDICARE: LANSINGBURGH FAMILY PRACTICE, PC

MEDICARE: LANSINGBURGH FAMILY PRACTICE, PC
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
1207Q00000XFamily Medicine Physician2056621NY

General Provider Information

NPI Number : 1710931837
Entity Type Code : Organization
Provider Name (Legal Business Name) : LANSINGBURGH FAMILY PRACTICE, PC
Provider Business Mailing Address
First Line : 595 5TH AVE
Second Line :
City : TROY
State : NY
Zip : 12182-2501
Country : US
Telephone Number : 518-235-8034
Fax Number : 518-235-8036
Provider Business Practice Location Address
First Line : 595 5TH AVE
Second Line :
City : TROY
State : NY
Zip : 12182-2501
Country : US
Telephone Number : 518-235-8034
Fax Number : 518-235-8036
Authorized Official
Title or Position : MD/OWNER
Name : DR. ADETONA B ADETONA
Credential : M.D.
Telephone Number : 518-235-8034
Provider Enumeration Date : 05/22/2006
Last Update Date : 01/30/2020

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Directions to “LANSINGBURGH FAMILY PRACTICE, PC ” Practice Location

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