Family Medicine Associates of Ithaca
Family Medicine Associates of Ithaca is a Non-Pharmacy Dispensing Site in Ithaca, New York. Licensed in New York. Registered with an NPI since 2014.
- Licensed in
- NY
- In the registry since
- 2014
Practice location Address checks out
209 W State StIthaca, NY 14850-5429
Phone: (607) 277-4341
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Non-Pharmacy Dispensing Site (primary) | Taxonomy 332900000X · Licence 143456 (NY) |
|---|
Record details
| NPI number | 1013324318 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Medvantx, Inc |
| Authorized official | Kenny Heine — Vp Of Operations · (858) 964-1506 |
| Other names | Family Medicine Associates State St |
| NPI enumerated | July 18, 2014 |
| Last updated in NPPES | July 21, 2014 |
| Mailing address | 5626 Oberlin Dr, Suite 110, San Diego, CA 92121-1705 |
Other providers in Ithaca
-
Ann R Costello
217 N Aurora St Ste 2, Ithaca, NY 14850-4345 · (607) 273-2811
-
Family Medicine Associates of Ithaca
8 Brentwood Dr, Ithaca, NY 14850-1871 · (607) 277-4341