Individual
JODI L. CARDINALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
130 CENTER WAY, CORNING, NY 14830-2287
(607) 936-9971
(607) 962-8938
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
009076
NY
363AM0700X
Medical Physician Assistant
Primary
009076
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02563702
—
NY
Enumeration date
10/26/2006
Last updated
04/02/2021
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