| Marne Oshae Md Pllc | |
|
402 N Cayuga St Ithaca NY 14850-4291 | |
| (607) 273-5551 | |
| (607) 275-0313 |
| Full Name | Marne Oshae Md Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 402 N Cayuga St, Ithaca, New York |
| Authorized Official Name and Position | Marne Oshae (OWNER) |
| Authorized Official Contact | 6072735551 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marne Oshae Md Pllc 402 N Cayuga St Ithaca NY 14850-4291 Ph: (607) 273-5551 | Marne Oshae Md Pllc 402 N Cayuga St Ithaca NY 14850-4291 Ph: (607) 273-5551 |
| NPI Number | 1114339710 |
|---|---|
| Provider Enumeration Date | 05/30/2014 |
| Last Update Date | 05/30/2014 |
| Medicare PECOS PAC ID | 4284859414 |
|---|---|
| Medicare Enrollment ID | O20140702001212 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114339710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 228335-1 (New York) | Primary |
| Provider Name | Marne Oshae |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801922919 PECOS PAC ID: 4981501301 Enrollment ID: I20031215000626 |
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