Sports & Orthopedic Surgery Of New York, Pllc in Ithaca - Specialist

Sports & Orthopedic Surgery Of New York, Pllc - NPI 1871790071

Sports & Orthopedic Surgery Of New York, Pllc is a Specialist in Ithaca, New York. Sports & Orthopedic Surgery Of New York, Pllc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Sports & Orthopedic Surgery Of New York, Pllc is 1871790071. The last update date is 2011-03-07.

Sports & Orthopedic Surgery Of New York, Pllc's current location address is Po Box 6402, Ithaca, New York. You can contact this provider via phone number 2122540946 and fax number 2122540956. The mailing address for Sports & Orthopedic Surgery Of New York, Pllc is Po Box 6402, Ithaca, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Sports & Orthopedic Surgery Of New York, Pllc
Address Po Box 6402, Ithaca, New York
Phone Number 2122540946
Fax Number 2122540956
Sole Proprietor --
Credentials --

Authorized Official

Title or Position SOLE PROPR
Authorized Official Name Fernandez-Madrid J Ivan
Credentials M.D.
Telephone Number 2122540946

NPI Number Detail

NPI Number 1871790071
Provider Enumeration Date 2007-06-29
Last Updated Date 2011-03-07

Provider Mailing Address Detail

Address Po Box 6402
City Ithaca
State New York (NY)
Post Code 148516402
Phone Number 2122540946
Fax Number 2122540956

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 217407
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Sports & Orthopedic Surgery Of New York, Pllc

What is the Sports & Orthopedic Surgery Of New York, Pllc's unique identification number?

The Sports & Orthopedic Surgery Of New York, Pllc has been assigned the NPI (National Provider Identifier) Number 1871790071 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Where is the Sports & Orthopedic Surgery Of New York, Pllc located?

The Sports & Orthopedic Surgery Of New York, Pllc is located at Po Box 6402, Ithaca, NY 148516402.

What is Sports & Orthopedic Surgery Of New York, Pllc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Sports & Orthopedic Surgery Of New York, Pllc is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.

On what date was the 1871790071 assigned to Sports & Orthopedic Surgery Of New York, Pllc?

The Sports & Orthopedic Surgery Of New York, Pllc was issued its 1871790071 on 2007-06-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Sports & Orthopedic Surgery Of New York, Pllc last refreshed?

The information related to the Sports & Orthopedic Surgery Of New York, Pllc, including its address, specialty, and other relevant details, was last updated on 2011-03-07.

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