Mr Benjamin J Kornblum, | |
302 W Seneca St, Ithaca, NY 14850-4130 | |
(607) 697-0360 | |
Not Available |
Full Name | Mr Benjamin J Kornblum |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 302 W Seneca St, Ithaca, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093337446 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 346283 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cayuga Medical Center At Ithaca | Ithaca, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cayuga Family Medicine Pc | 1850321464 | 5 |
Entity Name | Cayuga Family Medicine Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750308474 PECOS PAC ID: 1850321464 Enrollment ID: O20050815000047 |
Mailing Address | Practice Location Address |
---|---|
Mr Benjamin J Kornblum, 302 W Seneca St, Ithaca, NY 14850-4130 Ph: (607) 697-0360 | Mr Benjamin J Kornblum, 302 W Seneca St, Ithaca, NY 14850-4130 Ph: (607) 697-0360 |
Judith Scherer, NP FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 209 W State St, Ithaca, NY 14850 Phone: 607-257-5263 Fax: 607-216-0902 | |
Jessa Irene Dauria, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 217 N Aurora St, Ithaca, NY 14850 Phone: 607-273-2811 | |
Deborah D Mcintyre, RN NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 821 Cliff St, Ithaca, NY 14850 Phone: 607-273-7700 Fax: 607-273-6958 | |
Mrs. Jolene S Burun, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2432 N Triphammer Rd, Ithaca, NY 14850 Phone: 607-272-0460 | |
Bonnie Lefkowitz-white, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 217 N Aurora St, Ithaca, NY 14850 Phone: 607-273-2811 Fax: 607-273-1170 | |
Mary Catherine Clapp, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 620 W Seneca St, Ithaca, NY 14850 Phone: 607-273-1513 Fax: 607-216-0023 |