NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

24 ON PHYSICIAN NEW YORK, PC
101 DATES DR
ITHACA, NY14850-1342
 Phone: 607-274-4191
 Fax: 607-274-4198
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for 24 ON PHYSICIAN NEW YORK, PC

NPI Number 1285799163
LBN Legal business name 24 ON PHYSICIAN NEW YORK, PC
Authorized official DAN FULLER - (PRESIDENT)
Entity Organization
Organization subpart 1 Not specified
Enumeration date 12/22/2006
Last updated 07/08/2007 - About 12 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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