Ithaca Outpatient Clinic

NPI #1952435729 in Ithaca, New York

Provider Information

NPI Number: 1952435729
Entity Type: Organization
Organization Name: Ithaca Outpatient Clinic
Primary Specialty: Clinic/Center - VA
Enumeration Date: Mar 15, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 10 ARROWOOD DR
City: Ithaca
State: New York
ZIP Code: 14850-1857
Phone: (315) 425-4400

Authorized Official

Name: BARBARA MAYERICK
Title: DIRECTOR, BUSINESS DEVELOPMENT
Phone: (202) 254-0339

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - VA — VA	261QV0200X	Primary

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