NPI 1013324318
Family Medicine Associates of Ithaca
Practice location
- Address
- 209 W State St, Ithaca, NY 14850-5429
- Phone
- (607) 277-4341
- Mailing address
- 5626 Oberlin Dr Suite 110, San Diego, CA 92121-1705
Authorised official
- Name
- Kenny Heine
- Title
- Vp of Operations
- Phone
- (858) 964-1506
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1013324318
- Entity type
- Organization
- NPI issued
- 18 Jul 2014
- Record last updated
- 21 Jul 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.