Organization
KENDAL AT ITHACA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD BUCKLIN (HEALTH SERVICE ADMINISTRATOR)
(607) 272-5300
Entity
Organization
Contact information
Practice address
2230 N TRIPHAMMER RD, ITHACA, NY 14850-6513
(607) 266-5300
Mailing address
105 N SUNSET DR, ITHACA, NY 14850-1459
(607) 272-5464
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
01740-1
NY
Other
Enumeration date
04/23/2007
Last updated
08/22/2020
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