FAMILY PLUS PRIMARY CARE,RPA,PC
Ambulatory Health at Main St, Eden, NY

License number
New York 23-1330
Category
Ambulatory Health
Type
Health Service
Owner
Name: JAMES MARTIN
Title: PRESIDENT
Phone: (716) 984-9309
Address
Address 2
8566 N Main St, Eden, NY 14057
PO Box 491811, Leesburg, FL 34749
National Provider ID: 1912930371
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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FAMILY PLUS PRIMARY CARE R.P.A. PC

Eden, NY  -  Gowanda, NY

Status:
Inactive
Inactive reason:
Dissolution by Proclamation / Annulment of Authority
Registration:
Oct 13, 1999
Inactive since:
Apr 27, 2011
Addresses:
8566 N Main St, Eden, NY 14057 (Physical)
2847 Gowanda Zoar Rd, Gowanda, NY 14070 (Physical)
State ID:
2428409
Business type:
DOMESTIC PROFESSIONAL CORPORATION
James Martin, 2847 Gowanda Zoar Rd, Gowanda, NY 14070 (Physical)

Ambulatory Health licenses in New York

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