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Contact Information

CAYUGA NEUROLOGIC SERVICES LLP
119 W BUFFALO ST
ITHACA, NY14850-4131
 Phone: 607-273-6757
 Fax: 607-273-2854
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for CAYUGA NEUROLOGIC SERVICES LLP

NPI Number 1578636379
LBN Legal business name CAYUGA NEUROLOGIC SERVICES LLP
Authorized official JODY STACKMAN - (SENIOR PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/17/2006
Last updated 10/12/2010 - About 16 years ago
Identifiers
NY License # 132611
NY Medicaid 00711413
NY Medicaid 01335900
NY Medicaid 02068793
NY Medicaid 02883223
NY Medicaid 03191393
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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