| Orthodontic Group Of The Fingerlakes Pllc | |
|
412 N Tioga St Ithaca NY 14850-4256 | |
| (607) 272-3921 | |
| Not Available |
| Full Name | Orthodontic Group Of The Fingerlakes Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 412 N Tioga St, Ithaca, New York |
| Authorized Official Name and Position | Mark A Paciorek (PRESIDENT) |
| Authorized Official Contact | 6072723921 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orthodontic Group Of The Fingerlakes Pllc 412 N Tioga St Ithaca NY 14850-4256 Ph: () - | Orthodontic Group Of The Fingerlakes Pllc 412 N Tioga St Ithaca NY 14850-4256 Ph: (607) 272-3921 |
| NPI Number | 1851805964 |
|---|---|
| Provider Enumeration Date | 11/28/2017 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851805964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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