Organization
RENAISSANCE OB/GYN OF CORTLAND, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA MARIE GARCIA MD (PRESIDENT)
(607) 758-9977
Entity
Organization
Contact information
Practice address
103 N MAIN ST, CORTLAND, NY 13045-1207
(607) 758-9977
(607) 758-9907
Mailing address
103 N MAIN ST, CORTLAND, NY 13045-1207
(607) 758-9977
(607) 758-9907
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02676960
—
NY
Enumeration date
06/15/2006
Last updated
12/14/2011
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