Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fairmount Family Medicine PLLC

Organization Family Medicine Physician · NPI 1659491421

Fairmount Family Medicine PLLC provides Family Medicine Physician services in Camillus, New York. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

5006 W Genesee St
Camillus, NY 13031-2326
Phone: (315) 234-2342
Fax: (315) 234-0697
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1659491421
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leland Jackson — Owner · (315) 234-2342
Other names Camillus Family Health Assoc; Camillus Family Health Assoc
NPI enumeratedMarch 29, 2007
Last updated in NPPESNovember 29, 2023
Certification dateNovember 29, 2023
Mailing address5006 West Genesee Street, Camillus, NY 13031-2326

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