Ithaca Dermatology Pllc

NPI #1790979417 in Ithaca, New York

Provider Information

NPI Number: 1790979417
Entity Type: Organization
Organization Name: Ithaca Dermatology Pllc
Primary Specialty: Dermatology
Enumeration Date: Sep 6, 2007
Last Updated: Jan 27, 2010

Practice Location

Address: 821 CLIFF STREET
City: Ithaca
State: New York
ZIP Code: 14850
Phone: (607) 256-7546

Authorized Official

Name: DR. KIMBERLY SILVERS
Title: OWNER
Phone: (607) 256-7546

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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