- Practice location
- 101 Dates Dr, Ithaca, NY 14850-1342
- Phone
- 607-274-4191
- Fax
- 607-274-4198
- Last updated
- August 22, 2020
24 On Physician New York, PC is a healthcare organization based in Ithaca, NY. 24 On Physician New York, PC practices in Ithaca, NY. The NPI Number for 24 On Physician New York, PC is 1285799163. The current practice location address for 24 On Physician New York, PC is 101 Dates Dr, Ithaca, NY 14850-1342 and can be reached out via phone at 607-274-4191 and via fax at 607-274-4198.
Provider Profile Details
- NPI Number
- 1285799163
- Provider Name
- 24 On Physician New York, PC
- Provider Entity Type
- Organization
- Address
- 101 Dates Dr, Ithaca, NY 14850-1342
- Phone Number
- 607-274-4191
- Fax Number
- 607-274-4198
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Organization Subpart
- No
- Authorized Official
- Dan Fuller · President · 770-740-0895
- Provider Enumeration Date
- December 22, 2006
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 101 Dates Dr
Ithaca, NY 14850-1342 - City
- Ithaca
- State
- New York
- Zip
- 14850-1342
- Phone Number
- 607-274-4191
- Fax Number
- 607-274-4198
Provider Business Mailing Address Details
- Address
- Po Box 403631
Atlanta, GA 30384-3631 - City
- Atlanta
- State
- GA
- Zip
- 30384-3631
- Phone Number
- 770-740-0895
- Fax Number
- 770-740-0896
License Information
- Taxonomy
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine providers near Ithaca, NY
View all Internal Medicine providers in Ithaca →Frequently Asked Questions
What is the NPI number of 24 On Physician New York, PC?
The NPI number of 24 On Physician New York, PC is 1285799163. It was assigned on December 22, 2006 and is currently active in the NPPES registry.
What is the specialty of 24 On Physician New York, PC?
24 On Physician New York, PC is registered under the primary taxonomy Internal Medicine (code 207R00000X).
Where does 24 On Physician New York, PC practice?
The practice location is 101 Dates Dr, Ithaca, NY 14850-1342. The office can be reached at 607-274-4191 (phone) or 607-274-4198 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1285799163 directly on the NPPES registry website.