Organization
DERMATOLOGY ASSOCIATES OF ITHACA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE TERRAZAS (OFFICE MANAGER)
(607) 257-1107
Entity
Organization
Contact information
Practice address
1051 CRAFT RD, ITHACA, NY 14850-1016
(607) 257-1107
(607) 257-0369
Mailing address
1051 CRAFT RD, ITHACA, NY 14850-1016
(607) 257-1107
(607) 257-0369
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
250861
NY
Other
Enumeration date
01/01/2011
Last updated
10/09/2024
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