Dr Martin Stallone Jr, MD/MBA | |
101 Dates Dr, Ithaca, NY 14850-1342 | |
(607) 274-4189 | |
Not Available |
Full Name | Dr Martin Stallone Jr |
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Gender | Male |
Speciality | Hospitalist |
Location | 101 Dates Dr, Ithaca, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295751782 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 01061023A (Indiana) | Secondary |
208M00000X | Hospitalist | 12340 (Rhode Island) | Secondary |
208M00000X | Hospitalist | 253091 (New York) | Primary |
Entity Name | Cayuga Medical Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679525455 PECOS PAC ID: 6709897960 Enrollment ID: O20060601000199 |
Mailing Address | Practice Location Address |
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Dr Martin Stallone Jr, MD/MBA 101 Dates Dr, Ithaca, NY 14850-1342 Ph: (607) 274-4189 | Dr Martin Stallone Jr, MD/MBA 101 Dates Dr, Ithaca, NY 14850-1342 Ph: (607) 274-4189 |
Dr. Manish Thakur, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 101 Dates Dr, Ithaca, NY 14850 Phone: 607-274-4011 | |
Dr. Fred Wayne Frankenberg Ii, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 101 Dates Dr, Ithaca, NY 14850 Phone: 607-274-4011 Fax: 607-274-4198 | |
Jarred Johnson, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 101 Dates Dr, Ithaca, NY 14850 Phone: 607-277-2365 Fax: 607-277-0104 | |
Dr. Candice M Oliver, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 101 Dates Dr, Hospitalist Office, Ithaca, NY 14850 Phone: 607-274-4296 Fax: 607-274-4198 |