Bloomfield Family Practice, P.C.

LBN: Bloomfield Family Practice, P.C.
Bloomfield Family Practice, P.C. is an health care organization with primary practice located at 6032 Woodvine Rise , Canandaigua NY 14424-8277. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Bloomfield Family Practice, P.C. can be contacted via phone (585) 202-5022, or through Yavorek, Vincent Mark via phone (585) 202-5353.

Contact Information

Primary practice address
6032 Woodvine Rise Canandaigua NY 14424-8277
Fax:
Website:
Authorized official contact:
Name: Yavorek, Vincent Mark Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 195888 New York

Profile Details

NPI number 1639184336
LBN Legal business name Bloomfield Family Practice, P.C.
DBA Doing business as
Authorized official Yavorek, Vincent Mark Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Jul 18th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639184336 NPPES
New York MEDICAID 01695830

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