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Organization

CAYUGA MEDICAL CENTER EMPLOYED PHYSICIANS GROUP

Active
Parent organization
CAYUGA MEDICAL CENTER
Other names
Cayuga Medical Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
CAYUGA MEDICAL CENTER
Authorized official
JOHN COLLETT (CFO)
(607) 274-4441
Entity
Organization

Contact information

Practice address
101 DATES DR, ITHACA, NY 14850-1342
(607) 274-4441
Mailing address
101 DATES DR, ITHACA, NY 14850-1342
(607) 274-4441

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
207Q00000X
Family Medicine Physician
207QS0010X
Sports Medicine (Family Medicine) Physician
207R00000X
Internal Medicine Physician
207RH0003X
Hematology & Oncology Physician
208000000X
Pediatrics Physician
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
2084P0800X
Psychiatry Physician

Other

Enumeration date
07/17/2014
Last updated
07/18/2014
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