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Organization

FRANZISKA RACKER CENTERS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. COLLEEN A SMITH (BILLING MANAGER)
(607) 272-5891
Entity
Organization

Contact information

Practice address
3226 WILKINS RD, ITHACA, NY 14850-9568
(607) 272-5891
(607) 272-0188
Mailing address
3226 WILKINS RD, ITHACA, NY 14850-9568
(607) 272-5891
(607) 272-0188

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
J400244038
MEDICARE PTAN
NY
Enumeration date
04/25/2016
Last updated
04/25/2016
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