Individual
MR. ERIC KNAAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, CRNP, FNP-C
Contact information
Practice address
8 BRENTWOOD DR STE B, ITHACA, NY 14850-1871
(607) 277-2170
Mailing address
905 HANSHAW ROAD, SUITE A, ITHACA, NY 14850
(607) 273-6757
(607) 273-2854
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F343618-1
NY
Other
Enumeration date
02/20/2017
Last updated
04/02/2019
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