FAYETTEVILLE FAMILY PHYSICIAN, PLLC
NPI 1164708707
Clinic/Center - Primary Care in Fayetteville, NY

Q: What is Fayetteville Family Physician, PLLC's NPI number?

The NPI number for Fayetteville Family Physician, PLLC is 1164708707. It was assigned to this organization in the NPPES registry on October 27, 2011.

Q: What is Fayetteville Family Physician, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since October 27, 2011

6834 E GENESEE ST, FAYETTEVILLE, NY 13066(315) 214-3999(347) 772-3132 Get Directions Write a Review

NPPES record last updated: October 27, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Fayetteville Family Physician, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAYETTEVILLE FAMILY PHYSICIAN, PLLC (NPI 1164708707) is a healthcare organization registered as a primary care in Fayetteville, New York and active in the NPI registry since October 2011. The organization lists Hdayatu Salawu, Physician, as its authorized official.

NPPES Registry Identity

NPI1164708707

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameFAYETTEVILLE FAMILY PHYSICIAN, PLLC

Location Address6834 E GENESEE STFayetteville, NY 13066-1021

Mailing Address6834 East Genesee StreetFayetteville, NY 13066 · (315) 214-3999 · Fax (347) 772-3132

Phone(315) 214-3999

Fax(347) 772-3132

Organization SubpartNo

Authorized OfficialHdayatu SalawuPhysician · (315) 214-3999

Enumeration DateOctober 27, 2011

✔ NPI 1164708707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

License✔ Licensed in NY · 2462581

6834 E GENESEE ST, Fayetteville, NY 13066

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AMY BETH GROSS PH.D.

Psychologist (Clinical Child & Adolescent)

6834 E GENESEE ST
FAYETTEVILLE, NY 13066

Onondaga County (315) 446-3292

TRACY TORELLI

Social Worker (Clinical)

6834 E GENESEE ST
FAYETTEVILLE, NY 13066

Onondaga County (315) 256-0478

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fayetteville Family Physician, PLLC's NPI number?

The NPI number for Fayetteville Family Physician, PLLC is 1164708707. It was assigned to this organization in the NPPES registry on October 27, 2011.

Where is Fayetteville Family Physician, PLLC located?

Fayetteville Family Physician, PLLC is located at 6834 E Genesee St, Fayetteville, NY 13066. The listed phone number is (315) 214-3999.

What is Fayetteville Family Physician, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Fayetteville Family Physician, PLLC was last updated on October 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.