Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Ithaca Orthopaedic Group, PC

Organization Orthopaedic Surgery Physician · NPI 1912921263

Ithaca Orthopaedic Group, PC provides Orthopaedic Surgery Physician services 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?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10 Brentwood Dr Ste B
Ithaca, NY 14850-1865 Not confirmed with CMS for 18 years — call before visiting
Phone: (607) 266-0073
Fax: (607) 266-9310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X (NY)

Record details

NPI number1912921263
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bruce Greene — Vice President · (607) 266-0073
NPI enumeratedJuly 27, 2006
Last updated in NPPESAugust 19, 2008
Mailing address10 Brentwood Dr, Suite B, Ithaca, NY 14850-1865

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