National Provider Identifier Database

REGIONAL MEDICAL PRACTICE PC
Children


Contact Information

REGIONAL MEDICAL PRACTICE, PC
134 HOMER AVE
CORTLAND, NY13045-1206
Phone: 607-758-8019
Fax:
Website:
Specialty Taxonomy Code
* Children 282NC2000X

* Indicates primary specialty

NPI Profile & details for REGIONAL MEDICAL PRACTICE, PC

NPI Number 1689042210
Legal business name
LBN
REGIONAL MEDICAL PRACTICE, PC
Authorized official KELLY HIRSCH - (DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 09/14/2015
Last updated 09/14/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: 3825771

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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