Organization
NORTHEAST PEDIATRICS & ADOLESCENT MEDICINE, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARUGERITE UPHOFF MD (SENIOR PARTNER)
(607) 257-2244
Entity
Organization
Contact information
Practice address
10 GRAHAM RD W, ITHACA, NY 14850-1055
(607) 257-2244
(607) 266-7341
Mailing address
10 GRAHAM RD W, ITHACA, NY 14850-1055
(607) 257-2244
(607) 266-7341
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
09/22/2006
Last updated
08/22/2020
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