Excellent Doctor giving good service ,however the office and support staff are the exact opposite. When you join they dont bother to call back and tell you that you are accepted , then when you call ,whatever day they say oh yes we were going to call you today !!! Referals take an eternity to happen and you must keep on top of them to know what is going on , mine were sent to the wrong office for the doctor sought and then just left, nothing corrected. The head nurse runs the Patient Portal and needs to be instructed by the patient in how to resolve issues, reset the system and make it possible to register. Apart from the Doctor, this was a very negative joining for me and I will leave immediately based on their front office inability or lack of intent to resolve issues quickly. They have a lot of new people and I was told by theit Fulton office that they are not experienced or have much knowledge of the Northwat systems , I totally agree !!! In Baldwinsville phone is not answered.