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1285799163
24 ON PHYSICIAN NEW YORK, PC
ITHACA, NY
NPI
1285799163
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Entity Type
Organization
Authorized Contact
DAN FULLER
President
770-740-0895
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2006-12-22
Last Update Date
2020-08-22
Business Address
24 ON PHYSICIAN NEW YORK, PC
101 DATES DR
ITHACA, NY 14850-1342
Phone number: 607-274-4191
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Mailing Address
24 ON PHYSICIAN NEW YORK, PC
PO BOX 403631
ATLANTA, GA 30384-3631
Phone number: 770-740-0895
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