Individual
DR. MARGUERITE H UPHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10 GRAHAM RD W, ITHACA, NY 14850-1055
(607) 257-2188
(607) 266-7341
Mailing address
10 GRAHAM RD W, ITHACA, NY 14850-1055
(607) 257-2188
(607) 266-7341
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
106924
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000910785001
HEALTHNOW
—
05
—
00467661
—
NY
01
—
08839
BLUE SHIELD/HMO/EXCELLUS
—
01
—
161010811
RMSCO
—
01
—
4217140
AETNA MANAGED CHOICE
—
01
—
6492
TOTALCARE/MANAGED MA
NY
01
—
V018315
TRICARE
—
Enumeration date
11/16/2005
Last updated
02/17/2012
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