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1043736309
PRIMARY CARE INTERNAL MEDICINE OF ITHACA, PLLC
ITHACA, NY
NPI
1043736309
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Entity Type
Organization
Authorized Contact
ANN R COSTELLO
Owner
607-273-2811
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2017-08-18
Last Update Date
2017-08-18
Business Address
PRIMARY CARE INTERNAL MEDICINE OF ITHACA, PLLC
217 N AURORA ST
ITHACA, NY 14850-4345
Phone number: 607-273-2811
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Mailing Address
PRIMARY CARE INTERNAL MEDICINE OF ITHACA, PLLC
217 N AURORA ST
ITHACA, NY 14850-4345
Phone number: 607-273-2811
Copy
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