Mary Ellen Smoolca in Ithaca - Podiatrist

Mary Ellen Smoolca - NPI 1285689836

Mary Ellen Smoolca is a Podiatrist in Ithaca, New York. Mary Ellen Smoolca practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Mary Ellen Smoolca is 1285689836. The last update date is 2010-02-01.

Mary Ellen Smoolca's current location address is 406 Second Street, Ithaca, New York. You can contact this provider via phone number 6072729223 and fax number 6072727631. The mailing address for Mary Ellen Smoolca is 406 Second Street, Ithaca, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Ellen Smoolca
Address 406 Second Street, Ithaca, New York
Phone Number 6072729223
Fax Number 6072727631
Sole Proprietor Y
Credentials DPM

NPI Number Detail

NPI Number 1285689836
Provider Enumeration Date 2006-05-23
Last Updated Date 2010-02-01

Provider Mailing Address Detail

Address 406 Second Street
City Ithaca
State New York (NY)
Post Code 14850
Phone Number 6072729223
Fax Number 6072727631

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No N004281
Definition:
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
0147054B NY --

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FAQs about Mary Ellen Smoolca

What is the Mary Ellen Smoolca's 1285689836?

The Mary Ellen Smoolca's NPI (National Provider Identifier) Number is 1285689836. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Mary Ellen Smoolca?

The Mary Ellen Smoolca is physically situated at 406 Second Street, in the city of Ithaca, state of NY, with the postal code 14850.

What is Mary Ellen Smoolca's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Mary Ellen Smoolca's specialized field of practice is Podiatrist, and the corresponding taxonomy code that categorizes this area of specialization is 213E00000X.

On what date did the Mary Ellen Smoolca receive the assignment of its 1285689836 from the Centers for Medicare & Medicaid Services?

The Mary Ellen Smoolca was issued its 1285689836 by the Centers for Medicare & Medicaid Services on 2006-05-23.

As of what date were the Mary Ellen Smoolca's details last updated?

The information pertaining to the Mary Ellen Smoolca, including its address, specialty, and other details, was most recently updated on 2010-02-01.

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