Cornell University | |
110 Ho Plaza Ithaca NY 14853 | |
(607) 255-5155 | |
(607) 255-0269 |
Full Name | Cornell University |
---|---|
Speciality | Clinic/Center |
Location | 110 Ho Plaza, Ithaca, New York |
Authorized Official Name and Position | Jada Hamilton (DIRECTOR) |
Authorized Official Contact | 6072557492 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Cornell University 110 Ho Plaza Ithaca NY 14853 Ph: (607) 255-5155 | Cornell University 110 Ho Plaza Ithaca NY 14853 Ph: (607) 255-5155 |
NPI Number | 1073584926 |
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Provider Enumeration Date | 01/30/2006 |
Last Update Date | 10/11/2023 |
Medicare PECOS PAC ID | 0446604979 |
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Medicare Enrollment ID | O20231101003611 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073584926 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
Provider Name | Jada L Hamilton |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972610137 PECOS PAC ID: 1355523895 Enrollment ID: I20231101003737 |
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