| NPI | 1609903004 |
|---|---|
| Doing Business As | ITHACAMED |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE J GIORDANO-FOSTER Office Manager 607-277-0969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 187756) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY F332267-1) |
| 207V00000X Obstetrics & Gynecology (Licence: NY F360284-1) | |
| 207Q00000X Family Medicine (Licence: NY F339752) | |
| 133V00000X Dietitian, Registered (Licence: NY 0012301) | |
| 207R00000X Internal Medicine (Licence: NY 187756) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2015-06-23 |