Ithaca Podiatry Associates

LBN: Ithaca Podiatry Associates
Ithaca Podiatry Associates is an health care organization with primary practice located at 2333 N Triphammer Rd Suite 202, Ithaca NY 14850-1082. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Ithaca Podiatry Associates can be contacted via phone (607) 257-7700, or through Kadlecik, Jeffrey via phone (607) 257-7700.

Contact Information

Primary practice address
2333 N Triphammer Rd Suite 202 Ithaca NY 14850-1082
Phone: (607) 257-7700
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kadlecik, Jeffrey
Phone: (607) 257-7700

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X N005805 New York

Profile Details

NPI number 1063683142
LBN Legal business name Ithaca Podiatry Associates
DBA Doing business as
Authorized official Kadlecik, Jeffrey
Entity Organization
Organization subpart 1 No
Enumeration date Mar 17th, 2008
Last updated Jun 18th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063683142 NPPES
New York MEDICAID 02195908

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