Fayetteville Family Physician, PLLC
NPI 1164708707 · Primary Care Clinic/Center · Fayetteville, NY
Fayetteville Family Physician, PLLC is a Primary Care Clinic/Center organization in Fayetteville, NY (NPI 1164708707).
Provider details
- NPI number
- 1164708707
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Hdayatu Salawu, Physician(315) 214-3999
- License
- 2462581 (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-10-27
- Last updated
- 2011-10-27
Frequently asked questions
- What is Fayetteville Family Physician, PLLC's NPI number?
- Fayetteville Family Physician, PLLC's National Provider Identifier (NPI) is 1164708707, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fayetteville Family Physician, PLLC?
- Fayetteville Family Physician, PLLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Fayetteville Family Physician, PLLC located?
- Fayetteville Family Physician, PLLC's practice location on file with NPPES is 6834 E Genesee St, Fayetteville, NY 13066-1021.
- What is Fayetteville Family Physician, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Fayetteville Family Physician, PLLC is (315) 214-3999.
- Who is the authorized official for Fayetteville Family Physician, PLLC?
- The authorized official listed on Fayetteville Family Physician, PLLC's NPPES record is Hdayatu Salawu, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fayetteville Family Physician, PLLC's NPI active?
- Yes — Fayetteville Family Physician, PLLC's NPI (1164708707) is active in the NPPES registry as of the last update on 2011-10-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.