Individual
JEFFREY P KADLECIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2333 N TRIPHAMMER RD, SUITE 202, ITHACA, NY 14850-1082
(607) 257-7700
(607) 257-1237
Mailing address
2333 N TRIPHAMMER RD, SUITE 202, ITHACA, NY 14850-1082
(607) 257-7700
(607) 257-1237
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N005805
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02195908
—
NY
01
—
223797623
TAX ID
—
Enumeration date
10/04/2006
Last updated
06/18/2008
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