| Family Medicine Associates Of Ithaca Llp | |
|
209 W State St Ithaca NY 14850-5429 | |
| (607) 257-5263 | |
| Not Available |
| Full Name | Family Medicine Associates Of Ithaca Llp |
|---|---|
| Speciality | Family Medicine |
| Location | 209 W State St, Ithaca, New York |
| Authorized Official Name and Position | Lloyd A Darlow (OWNER PROVIDER) |
| Authorized Official Contact | 6072575263 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Associates Of Ithaca Llp 209 W State St Ithaca NY 14850-5429 Ph: (607) 257-5263 | Family Medicine Associates Of Ithaca Llp 209 W State St Ithaca NY 14850-5429 Ph: (607) 257-5263 |
| NPI Number | 1326184490 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 01/21/2011 |
| Medicare PECOS PAC ID | 3779566435 |
|---|---|
| Medicare Enrollment ID | O20040611001359 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326184490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Sharon L Ziegler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083671325 PECOS PAC ID: 1850342171 Enrollment ID: I20050207000216 |
| Provider Name | Emily C Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295962892 PECOS PAC ID: 0446305528 Enrollment ID: I20090826000652 |
| Provider Name | Robert J Breiman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831285725 PECOS PAC ID: 5294718961 Enrollment ID: I20110419000139 |
| Provider Name | Alan T Midura |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285714469 PECOS PAC ID: 6002899770 Enrollment ID: I20110419000212 |
| Provider Name | Neil F Shallish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568494755 PECOS PAC ID: 1658354329 Enrollment ID: I20110419000437 |
| Provider Name | Debra K Lavigne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801945969 PECOS PAC ID: 1759566748 Enrollment ID: I20110509000103 |
| Provider Name | Justine M Hilsdorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154401263 PECOS PAC ID: 9739365735 Enrollment ID: I20110509000392 |
| Provider Name | Lloyd A Darlow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740376615 PECOS PAC ID: 9638152309 Enrollment ID: I20110524000058 |
| Provider Name | Robert T Mcclelland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568433043 PECOS PAC ID: 0042284622 Enrollment ID: I20110714000002 |
| Provider Name | Jessica Erin Massaro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992961023 PECOS PAC ID: 7416118245 Enrollment ID: I20120424000396 |
| Provider Name | Elizabeth H Gebhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871838920 PECOS PAC ID: 7113162892 Enrollment ID: I20130329000043 |
| Provider Name | Carol T Berlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568742914 PECOS PAC ID: 0648495846 Enrollment ID: I20140701002558 |
| Provider Name | Judith M Scherer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003965146 PECOS PAC ID: 1759606437 Enrollment ID: I20150223000367 |
| Provider Name | Nicole A Serrano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598289993 PECOS PAC ID: 1850666967 Enrollment ID: I20170928003646 |
| Provider Name | Sarah D Batschelet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114537065 PECOS PAC ID: 1951713619 Enrollment ID: I20201222001560 |
| Provider Name | Kaitlin R Lilienthal |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710494620 PECOS PAC ID: 0042629230 Enrollment ID: I20210428002645 |
| Provider Name | Trisha M Patrician |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720450059 PECOS PAC ID: 0648671040 Enrollment ID: I20210623000555 |
| Provider Name | Samuel Edwin Donovan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215433230 PECOS PAC ID: 0244588549 Enrollment ID: I20211006002006 |
| Provider Name | Sharinne Sukhnanand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508585019 PECOS PAC ID: 2466829056 Enrollment ID: I20221111000401 |
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