Provider Demographics
NPI:1609809276
Name:SUN VALLEY MEDICAL SERVICES, P.C.
Entity Type:Organization
Organization Name:SUN VALLEY MEDICAL SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:GEOFFREY
Authorized Official - Middle Name:AARON
Authorized Official - Last Name:MARKOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD, FAAFP
Authorized Official - Phone:585-243-3590
Mailing Address - Street 1:10399 POAGS HOLE RD
Mailing Address - Street 2:
Mailing Address - City:DANSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14437-9580
Mailing Address - Country:US
Mailing Address - Phone:585-243-3590
Mailing Address - Fax:585-335-9417
Practice Address - Street 1:50 E SOUTH ST STE 800
Practice Address - Street 2:
Practice Address - City:GENESEO
Practice Address - State:NY
Practice Address - Zip Code:14454-1388
Practice Address - Country:US
Practice Address - Phone:585-243-3590
Practice Address - Fax:585-335-9417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYE64859Medicare UPIN
NYBA0853Medicare ID - Type Unspecified