Organization
ITHACA DERMATOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY SILVERS (OWNER)
(607) 256-7546
Entity
Organization
Contact information
Practice address
821 CLIFF STREET, ITHACA, NY 14850
(607) 256-7546
(607) 256-0049
Mailing address
202 TAUGHANNOCK BLVD, PO BOX 366, ITHACA, NY 14851
(607) 277-4035
(607) 277-3888
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
220803
NY
Other
Enumeration date
09/06/2007
Last updated
01/27/2010
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