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Organization
NINE RIVERS OSTEOPATHY PC
Active
Organization
NINE RIVERS OSTEOPATHY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE TEVES DO (PRESIDENT)
(510) 220-0890
Entity
Organization
Contact information
Practice address
200 PLEASANT GROVE RD STE 6, ITHACA, NY 14850-2664
(607) 257-0900
(607) 257-0997
Mailing address
118 PARK LN, ITHACA, NY 14850-6352
(607) 257-0900
(607) 257-0997
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
271156
NY
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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