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Brockport Vine Medical PC

Internal Medicine Physician in Brockport, NY · enumerated 2019 · authorized official Alex Fahoury, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1871144543

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Registry record

Entity type Organization (Type 2)
Legal business name Brockport Vine Medical PC
Practice address 122 West Ave Ste 6, Brockport, NY, 14420
Phone (585) 208-8668
Enumeration date Sep 24, 2019
Last updated in NPPES Jan 3, 2020

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Alex Fahoury
Title Owner
Phone (585) 208-8668

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Brockport Vine Medical PC?
NPPES lists Alex Fahoury (Owner) as the authorized official for this organization.
What is the NPI number for Brockport Vine Medical PC?
The NPI for Brockport Vine Medical PC is 1871144543, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-01-03.