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ERIC MICHAEL JORGENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
904 E SHORE DR, ITHACA, NY 14850-1026
(607) 257-6563
Mailing address
904 E SHORE DR, ITHACA, NY 14850-1026
(607) 257-6563

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
311096
NY

Other

Enumeration date
05/10/2019
Last updated
06/21/2025
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