Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Upstate Family and Preventive Medicine, Inc

Organization Family Medicine Physician · NPI 1073988911

Upstate Family and Preventive Medicine, Inc provides Family Medicine Physician services in Syracuse, New York. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

475 Irving Ave Ste 200
Syracuse, NY 13210 Not confirmed with CMS for 10 years — call before visiting
Phone: (315) 464-4686
Fax: (315) 464-7106
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (NY)

Record details

NPI number1073988911
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Epling — Chairman · (315) 464-4686
NPI enumeratedDecember 3, 2015
Last updated in NPPESDecember 4, 2015
Mailing address251 Salina Meadows Pkwy, Suite 100, Syracuse, NY 13212

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