Individual
AMY E AITTAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
404 N. CAYUGA STREET, ITHACA, NY 14850
(607) 277-0969
(607) 277-3242
Mailing address
404 N CAYUGA ST, ITHACAMED, ITHACA, NY 14850-4219
(607) 277-0969
(607) 277-3242
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F338742-1
NY
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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