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NPI Code Detail

MEDICARE: FINGER LAKES VISITING NURSE SERVICE INC.

MEDICARE: FINGER LAKES VISITING NURSE SERVICE 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
1251G00000XCommunity Based Hospice Care Agency3402501FNY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740201334
Entity Type Code : Organization
Provider Name (Legal Business Name) : FINGER LAKES VISITING NURSE SERVICE INC.
Provider Business Mailing Address
First Line : 756 PRE EMPTION ROAD
Second Line :
City : GENEVA
State : NY
Zip : 14456
Country : US
Telephone Number : 315-789-9821
Fax Number : 315-789-4034
Provider Business Practice Location Address
First Line : 756 PRE EMPTION RD
Second Line :
City : GENEVA
State : NY
Zip : 14456-1336
Country : US
Telephone Number : 315-789-9821
Fax Number : 315-789-4034
Authorized Official
Title or Position : VP OF FINANCE
Name : GREG T HUTTON
Credential :
Telephone Number : 585-274-4225
Provider Enumeration Date : 07/21/2006
Last Update Date : 03/25/2019

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