| Internal Medicine Of Ithaca, Pc | |
|
2359 N Triphammer Rd Ithaca NY 14850-1059 | |
| (607) 257-3452 | |
| (607) 257-3612 |
| Full Name | Internal Medicine Of Ithaca, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2359 N Triphammer Rd, Ithaca, New York |
| Authorized Official Name and Position | Muhammad Ahmad Wattoo (PRESIDENT) |
| Authorized Official Contact | 6072573452 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Of Ithaca, Pc 2359 N Triphammer Rd Ithaca NY 14850-1059 Ph: (607) 257-3452 | Internal Medicine Of Ithaca, Pc 2359 N Triphammer Rd Ithaca NY 14850-1059 Ph: (607) 257-3452 |
| NPI Number | 1609060417 |
|---|---|
| Provider Enumeration Date | 09/05/2007 |
| Last Update Date | 12/07/2007 |
| Medicare PECOS PAC ID | 9335237080 |
|---|---|
| Medicare Enrollment ID | O20071114000350 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609060417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 218549 (New York) | Primary |
| Provider Name | Muhammad A Wattoo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437125895 PECOS PAC ID: 5890883540 Enrollment ID: I20071114000345 |
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