Organization
FINGER LAKES INDEPENDENCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LENORE SCHWAGER (EXECUTIVE DIRECTOR)
(607) 272-2433
Entity
Organization
Contact information
Practice address
215 5TH ST, ITHACA, NY 14850-3403
(607) 272-2433
(607) 272-0902
Mailing address
215 5TH ST, ITHACA, NY 14850-3403
(607) 272-2433
(607) 272-0902
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01776461
—
NY
Enumeration date
05/21/2007
Last updated
08/22/2020
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