Organization
REGIONAL MEDICAL PRACTICE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY HIRSCH (DIRECTOR)
(607) 758-8019
Entity
Organization
Contact information
Practice address
134 HOMER AVE, CORTLAND, NY 13045-1206
(607) 758-8019
Mailing address
134 HOMER AVE, PO BOX 627, CORTLAND, NY 13045-1206
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
3825771
NY
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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