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Organization
WELL-BEING PEDIATRICS & ADOLESCENT MEDICINE, PLLC
Active
Organization
WELL-BEING PEDIATRICS & ADOLESCENT MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA CASEY DO (OWNER)
(607) 602-2083
Entity
Organization
Contact information
Practice address
402 3RD ST, ITHACA, NY 14850-3484
(607) 602-2083
(607) 208-7244
Mailing address
402 3RD ST, ITHACA, NY 14850-3484
(607) 602-2083
(607) 208-7244
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02272517
—
NY
Enumeration date
04/29/2021
Last updated
09/03/2021
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