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Contact Information

MARY E SMOOLCA, DPM
406 SECOND STREET
ITHACA, NY14850
 Phone: 607-272-9223
 Fax: 607-272-7631
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MARY E SMOOLCA · (Female)

NPI # 1285689836
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 05/23/2006
Last updated 02/01/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # N004281
  • NY Medicaid 0147054B
Hospital affiliation(s)
  • CAYUGA MEDICAL CENTER AT ITHACA - (Acute Care)
    101 DATES DRIVE
    ITHACA, NY 14850
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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