Organization
PATHOLOGY ASSOCIATES OF ITHACA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL SUDILOVSKY M.D. (MEDICAL DIRECTOR OF GROUP)
(607) 274-4474
Entity
Organization
Contact information
Practice address
101 DATES DR, ITHACA, NY 14850
(607) 274-4474
(607) 274-4481
Mailing address
PO BOX 1849, LEWISTON, ME 04241-1849
(207) 784-2554
(207) 777-1439
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
205803 1
NY
Other
Enumeration date
08/26/2005
Last updated
07/23/2018
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