Progressive Medicine of Ithaca, PC

NPI #1467621797 in Ithaca, New York

Provider Information

NPI Number: 1467621797
Entity Type: Organization
Organization Name: Progressive Medicine of Ithaca, PC
Primary Specialty: Family Medicine
Enumeration Date: Feb 20, 2008
Last Updated: May 1, 2008

Practice Location

Address: 402 3RD STREET
Address 2: SUITE 2
City: Ithaca
State: New York
ZIP Code: 14850
Phone: (607) 272-9938

Authorized Official

Name: DR. JOHN W WESTON, DO
Title: OWNER
Phone: (607) 272-9938

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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