Individual
MARY ELLEN SMOOLCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
406 SECOND STREET, ITHACA, NY 14850
(607) 272-9223
(607) 272-7631
Mailing address
406 SECOND STREET, ITHACA, NY 14850
(607) 272-9223
(607) 272-7631
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N004281
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0147054B
—
NY
Enumeration date
05/23/2006
Last updated
02/01/2010
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