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Contact Information

RADIOLOGY ASSOCIATES OF ITHACA PC
101 DATES DR
ITHACA, NY14850
 Phone: 607-277-3790
 Fax: 607-277-3849
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for RADIOLOGY ASSOCIATES OF ITHACA PC · (Female)

NPI Number 1467566190
Status Active
Credentials
Entity Individual
Enumeration date 08/19/2006
Last updated 05/07/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY Medicaid 00548898
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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