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

Primary Care Internal Medicine of Ithaca, PLLC

Organization Internal Medicine Physician · NPI 1043736309

Primary Care Internal Medicine of Ithaca, PLLC is an Internal Medicine Physician in Ithaca, New York. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

217 N Aurora St
Ithaca, NY 14850-4345
Phone: (607) 273-2811
Fax: (607) 273-1170
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 number1043736309
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ann Costello — Owner · (607) 273-2811
NPI enumeratedAugust 18, 2017
Last updated in NPPESAugust 18, 2017
Mailing address217 N Aurora St, Ithaca, NY 14850-4345

Other providers in Ithaca