Ithaca Orthopaedic Group, PC

NPI #1912921263 in Ithaca, New York

Provider Information

NPI Number: 1912921263
Entity Type: Organization
Organization Name: Ithaca Orthopaedic Group, PC
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Jul 27, 2006
Last Updated: Aug 19, 2008

Practice Location

Address: 10 BRENTWOOD DR
Address 2: SUITE B
City: Ithaca
State: New York
ZIP Code: 14850-1865
Phone: (607) 266-0073

Authorized Official

Name: DR. BRUCE L GREENE, M.D.
Title: VICE PRESIDENT
Phone: (607) 266-0073

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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