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

Ithaca Medical Group, PLLC

Organization Internal Medicine Physician · NPI 1962561951

Ithaca Medical Group, PLLC is an Internal Medicine Physician in Ithaca, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1301 Trumansburg Rd Ste P
Ithaca, NY 14850-1397
Phone: (607) 272-5414
Fax: (607) 272-6121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X (NY)

Record details

NPI number1962561951
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Garbo — Owner · (607) 272-5414
NPI enumeratedDecember 6, 2006
Last updated in NPPESOctober 28, 2008
Mailing address201 Harris B Dates Dr, Suite 102, Ithaca, NY 14850-1345

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