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Dr. Mark J Ivanick, MD
Pulmonary Disease Physician in Elmira, New York
NPI 1629065198

Mark J Ivanick is a Pulmonary Disease Physician based in Elmira, NY and is specialized in Pulmonary Disease. Mark J Ivanick practices in Elmira, NY and has the professional credentials of MD. The NPI Number for Mark J Ivanick is 1629065198 and holds a License No. 139254 (New York).

The current practice location address for Mark J Ivanick is 600 Roe Avenue, Elmira, NY and can be reached out via phone at 607-271-3780 and via fax at 607-271-3894.

Location: 600 Roe Avenue, Elmira, NY, 14901-3230
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629065198
Provider Name
Mark J Ivanick
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
600 Roe Avenue, Elmira, NY, 14901-3230
Phone Number
607-271-3780
Fax Number
607-271-3894
Provider Enumeration Date
09/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001003160 05 PA
00650211 05 NY
institution
Provider Business Practice Location Address Details
Address
600 Roe Avenue
City
Elmira
State
New York
Zip
14905-1629
Phone Number
607-271-3780
Fax Number
607-271-3894
person
Provider Business Mailing Address Details
Address
600 Roe Avenue
City
Elmira
State
New York
Zip
14905-1629
Phone Number
607-271-3780
Fax Number
607-271-3894
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Critical Care Medicine
Taxonomy
207RC0200X
License No.
NY139254-1 (New York)
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Pulmonary Disease
Taxonomy
207RP1001X
License No.
139254 (New York)
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
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