Organization
CAYUGA HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTY STALLONE MD (CEO)
(607) 274-4296
Entity
Organization
Contact information
Practice address
2432 N TRIPHAMMER RD, ITHACA, NY 14850-1014
(607) 272-0460
Mailing address
111 ORCHARD ST, ITHACA, NY 14850-2733
(607) 342-8142
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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