Whalio Doctors

NPI 1376950352

Family Medicine Associates of Ithaca

Organisation Non-Pharmacy Dispensing Site Ithaca, NY

Practice location

Address
8 Brentwood Dr, Ithaca, NY 14850-1871
Phone
(607) 277-4341
Mailing address
9276 Scranton Rd Suite 100, San Diego, CA 92121-7701

Authorised official

Name
Kenny Heine
Title
Vp of Operations
Phone
(858) 964-1506

Registered specialties

Non-Pharmacy Dispensing Site Primary
Suppliers Taxonomy 332900000X Licence 126988 (NY)

Registry record

NPI
1376950352
Entity type
Organization
NPI issued
22 Jul 2014
Record last updated
4 Jan 2016

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.