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Organization

FINGER LAKES INDEPENDENCE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
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
251V00000X
Voluntary or Charitable Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01776461
NY
Enumeration date
09/27/2012
Last updated
09/27/2012
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