Tompkins County
Clinic/Center, Public Health, State or Local in Ithaca, NY. Organization (NPI-2).
NPI number1306995642
StatusActive
Last updated in NPPESMar 21, 2025
Details
- NPI
- 1306995642
- Entity type
- Organization (NPI-2)
- Legal business name
- Tompkins County
- Organization subpart
- No
- Enumeration date
- Jan 9, 2007
- Certification date
- Mar 21, 2025
- Last updated
- Mar 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP0905X | Clinic/Center, Public Health, State or Local | – | NY | Yes |
Other names
- Tompkins County Health Department Clinic (Other Name)
Practice location
55 Brown RdIthaca, NY 14850-1247
Phone 607-274-6616 · Fax 607-274-6620
Mailing address
55 Brown RdIthaca, NY 14850-1247
Phone 607-274-6616 · Fax 607-274-6620
Authorized official
Brenda L Grinnell-Crosby
Public Health Administrator
6072746677
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