Organization
ITHACA ORTHOPAEDIC GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE L GREENE M.D. (VICE PRESIDENT)
(607) 266-0073
Entity
Organization
Contact information
Practice address
10 BRENTWOOD DR, SUITE B, ITHACA, NY 14850-1865
(607) 266-0073
(607) 266-9310
Mailing address
10 BRENTWOOD DR, SUITE B, ITHACA, NY 14850-1865
(607) 266-0073
(607) 266-9310
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NY
Other
Enumeration date
07/27/2006
Last updated
08/19/2008
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