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CECILIA TETZLAFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
10 GRAHAM RD W, ITHACA, NY 14850-1055
(607) 257-2188
Mailing address
700 WARREN RD APT 25-1E, ITHACA, NY 14850-1246
(281) 740-6488

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
AP145008
TX
363LP0200X
Pediatric Nurse Practitioner
C-APN.0002392-C-NP
CO
363LP0200X
Pediatric Nurse Practitioner
Primary
F383372
NY

Other

Enumeration date
02/25/2022
Last updated
02/25/2022
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