Individual
DR. CHRIS B PURDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1018 ELLIS HOLLOW RD, ITHACA, NY 14850-2808
(607) 272-6127
Mailing address
1018 ELLIS HOLLOW RD, ITHACA, NY 14850-2808
(607) 272-6127
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
040417
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16-1495774
T.I.N
NY
Enumeration date
03/20/2007
Last updated
07/08/2007
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