24 On Physician New York, Pc

NPI 1285799163 - Internal Medicine - 207R00000X

NPI Details
NPI 1285799163
Enumeration Date 12/22/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DAN DAN
Position PRESIDENT
Phone (607) 274-4191
Fax (607) 274-4198
Practice Location
101 DATES DR
ITHACA NY, 14850-1342, US
Phone (607) 274-4191
Fax (607) 274-4198
Business Location
PO BOX 403631
ATLANTA GA, 30384-3631, US
Phone (770) 740-0895
Fax (770) 740-0896
Toxanomy
Taxonomy Code 207R00000X
License State
License Number
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According to our database, 24 On Physician New York, Pc NPI is 1285799163, taxonomy code is 207R00000X 24 On Physician New York, Pc physically located at 101 Dates Dr, Ithaca NY, 14850-1342. NPI Number 1033115704 has the healthcare provider type.

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1285799163 NPI number is provided on an as is basis without warranty of any kind. 1285799163 is maintained by the National Plan & Provider Enumeration System. The contents of 24 On Physician New York, Pc are for informational purposes only.