Primary Care Internal Medicine of Ithaca, Pllc

NPI #1043736309 in Ithaca, New York

Provider Information

NPI Number
1043736309
Entity Type
Organization
Organization Name
Primary Care Internal Medicine of Ithaca, Pllc
Primary Specialty
Internal Medicine
Enumeration Date
Aug 18, 2017
Last Updated
Aug 18, 2017

Practice Location

Address
217 N AURORA ST
City
Ithaca
ZIP Code
14850-4345
Phone
(607) 273-2811

Authorized Official

Name
ANN R COSTELLO, MD
Title
OWNER
Phone
(607) 273-2811

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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