Organization
CORNELL UNIVERSITY
Active
Other names
Gannett Health Services, Gannett Cornell University Health Services Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JADA M HAMILTON MD (DIRECTOR)
(607) 255-7492
Entity
Organization
Contact information
Practice address
110 HO PLAZA, ITHACA, NY 14853-3101
(607) 255-6976
(607) 254-5042
Mailing address
110 HO PLAZA, ITHACA, NY 14853-3101
(607) 255-6976
(607) 254-5042
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
026826
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026826
STATE LISCENSE
NY
01
—
3339555
NCPDP
NY
Enumeration date
02/28/2007
Last updated
10/11/2023
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