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Individual

JULIE DK MCNAIRN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
904 E SHORE DR, ITHACA, NY 14850-1026
(607) 257-6563
(607) 257-1420
Mailing address
840 HANSHAW RD, ITHACA, NY 14850-1589
(607) 257-6563
(607) 257-1420

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
235631
NY
207R00000X
Internal Medicine Physician
235631
NY
208M00000X
Hospitalist Physician
235631
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02674239
NY
Enumeration date
03/03/2006
Last updated
08/05/2024
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