Organization
CAYUGA PHYSICIAN PRACTICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN STALLONE MD (PRESIDENT)
(607) 277-2365
Entity
Organization
Contact information
Practice address
16 BRENTWOOD DR, ITHACA, NY 14850-1863
(607) 339-0680
(607) 272-4604
Mailing address
1301 TRUMANSBURG RD STE B, ITHACA, NY 14850-1397
(607) 882-0010
(607) 277-0104
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
—
—
Other
Enumeration date
05/01/2019
Last updated
05/02/2019
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