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Contact Information

IAN C SUTTON, PA
101 DATES DR
ITHACA, NY14850
 Phone: 607-274-4011
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for IAN C SUTTON · (Male)

NPI Number 1295398048
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 04/17/2019
Last updated 10/01/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 024152
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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