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Mr. Benjamin J Kornblum
Family Nurse Practitioner in Ithaca, New York
NPI 1093337446

Benjamin J Kornblum is a Family Nurse Practitioner based in Ithaca, NY and is specialized in Family. Benjamin J Kornblum practices in Ithaca, NY. The NPI Number for Benjamin J Kornblum is 1093337446 and holds a License No. 346283 (New York).

The current practice location address for Benjamin J Kornblum is 302 W Seneca St, Ithaca, NY and can be reached out via phone at 607-697-0360.

Location: 302 W Seneca St, Ithaca, NY, 14850-4130
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093337446
Provider Name
Benjamin J Kornblum
Credential
Provider Entity Type
Individual
Gender
Male
Address
302 W Seneca St, Ithaca, NY, 14850-4130
Phone Number
607-697-0360
Fax Number
Provider Enumeration Date
05/08/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
302 W Seneca St
City
Ithaca
State
New York
Zip
14850-4130
Phone Number
607-697-0360
Fax Number
person
Provider Business Mailing Address Details
Address
302 W Seneca St
City
Ithaca
State
New York
Zip
14850-4130
Phone Number
607-697-0360
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
346283 (New York)
Definition
Definition to come...
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