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Organization
CAYUGA MEDICAL CENTER EMPLOYED PHYSICIANS GROUP
Active
Organization
CAYUGA MEDICAL CENTER EMPLOYED PHYSICIANS GROUP
Active
Parent organization
CAYUGA MEDICAL CENTER
Other names
Cayuga Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAYUGA MEDICAL CENTER
Authorized official
JOHN COLLETT (CFO)
(607) 274-4441
Entity
Organization
Contact information
Practice address
101 DATES DR, ITHACA, NY 14850-1342
(607) 274-4441
Mailing address
101 DATES DR, ITHACA, NY 14850-1342
(607) 274-4441
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
NULL
103TC0700X
Clinical Psychologist
—
—
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
NULL
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
NULL
207RH0003X
Hematology & Oncology Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
NULL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
07/17/2014
Last updated
07/18/2014
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