Organization
GASTROENTEROLOGY ASSOCIATES OF ITHACA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER T. BRENNAN MD (PRESIDENT)
(607) 272-5011
Entity
Organization
Contact information
Practice address
2435 N TRIPHAMMER RD, ITHACA, NY 14850-1047
(607) 272-5011
(607) 272-5861
Mailing address
2435 N TRIPHAMMER RD, ITHACA, NY 14850-1047
(607) 272-5011
(607) 272-5861
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02423352
—
NY
Enumeration date
05/20/2006
Last updated
01/09/2013
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