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Contact Information

REGIONAL MEDICAL PRACTICE, PC
135 N. MAIN ST.
CORTLAND, NY13045
 Phone: 607-758-8019
 Fax: 607-758-8210
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for REGIONAL MEDICAL PRACTICE PC · (Female)

NPI # 1285749093
Status Active
Credentials
Entity Individual
Enumeration date 08/20/2006
Last updated 03/04/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 123597
  • NY License # 134918
  • NY License # 145322-1
  • NY License # 153402
  • NY License # 196572
  • NY License # 211879
  • NY License # 253350
  • NY Medicaid 02901802
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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