Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

24 on Physician New York, PC

Organization Internal Medicine Physician · NPI 1285799163

24 on Physician New York, PC is an Internal Medicine Physician in Ithaca, New York. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

101 Dates Dr
Ithaca, NY 14850-1342
Phone: (607) 274-4191
Fax: (607) 274-4198
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1285799163
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dan Fuller — President · (770) 740-0895
NPI enumeratedDecember 22, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 403631, Atlanta, GA 30384-3631

Other providers in Ithaca