Facts
- Status
- A
- Credential
- RN
- Type
- Individual
- Enumeration date
- 2021-02-25
- Last updated
- 2021-02-25
Specialties
Licenses
- License NY
- 702285
Location
- Practice location
- 110 HO PLZ
- City
- ITHACA NY
- Postal code
- 148533102
- Phone
- 607-255-5155
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
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Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.