Provider Demographics
NPI:1275550063
Name:ORLEANS FAMILY MEDICINE
Entity Type:Organization
Organization Name:ORLEANS FAMILY MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:SANFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-589-0743
Mailing Address - Street 1:243 S MAIN ST
Mailing Address - Street 2:STE 135
Mailing Address - City:ALBION
Mailing Address - State:NY
Mailing Address - Zip Code:14411-1644
Mailing Address - Country:US
Mailing Address - Phone:585-589-0743
Mailing Address - Fax:
Practice Address - Street 1:243 S MAIN ST
Practice Address - Street 2:STE 135
Practice Address - City:ALBION
Practice Address - State:NY
Practice Address - Zip Code:14411-1644
Practice Address - Country:US
Practice Address - Phone:585-589-0743
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY169504207Q00000X
NY334373363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Not Answered363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01023481Medicaid
NY01023481Medicaid
NYC58023Medicare UPIN