Individual
MR. ALAN VESTEN IPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
ORTHOPEDIC SERVICES OF CMA, 16 BRENTWOOD DRIVE, ITHACA, NY 14850
(607) 272-7000
(607) 272-4604
Mailing address
ORTHOPEDIC SERVICES OF CMA, 16 BRENTWOOD DRIVE, ITHACA, NY 14850
(607) 272-7000
(607) 272-4604
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
012764
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03308514
—
NY
Enumeration date
04/15/2008
Last updated
04/24/2017
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