Buttermilk Falls Pediatrics
Pediatrics in Ithaca, NY. Organization (NPI-2).
NPI number1316036635
StatusActive
Last updated in NPPESFeb 28, 2023
Details
- NPI
- 1316036635
- Entity type
- Organization (NPI-2)
- Legal business name
- Buttermilk Falls Pediatrics
- Organization subpart
- No
- Enumeration date
- Oct 12, 2006
- Certification date
- Feb 28, 2023
- Last updated
- Feb 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | – | Yes |
Practice location
22 Arrowood Dr Ste AIthaca, NY 14850-1870
Phone 607-272-6880 · Fax 607-257-5538
Mailing address
22 Arrowood Dr Ste AIthaca, NY 14850-1870
Phone 607-272-6880 · Fax 607-257-5538
Authorized official
Amit Shrivastava
Owner
6072726880
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