Canal Park Family Medicine
Director
							Ingrid K Watkins, M.D.
			Expiration Date
							Phone Number
							(315) 986-1336
			UID (Facility ID - Site ID)
							Y693-0000
			Site ID
							0000
			City
							Macedon
			CLIA Number
							33D2179931
			Street Address
							1900 Rte 31 - West Wayne Plaza
			State
							NY
			Zip Code
							14502
			County
							Wayne
			Country
							United States
			Primary Contact
							Ron Malachowski
			Contact Phone Number
							(315) 462-1641
			Certificate Type
							WAIVER
			Tests
				Glucose
							Protime
							Pregnancy Test (Urine)
							Strep A Test
							Urinalysis
					Facility ID
							Y693
			