Individual
EMILY ROSE DVORAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1301 TRUMANSBURG RD STE P, ITHACA, NY 14850-1397
(607) 277-2365
(607) 277-1415
Mailing address
1301 TRUMANSBURG RD STE P, ITHACA, NY 14850-1397
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
309197
NY
Other
Enumeration date
07/01/2019
Last updated
07/14/2019
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