| Reach Medical | |
|
402 N Cayuga St Ithaca NY 14850-4291 | |
| (607) 273-7000 | |
| (607) 273-7001 |
| Full Name | Reach Medical |
|---|---|
| Speciality | General Practice |
| Location | 402 N Cayuga St, Ithaca, New York |
| Authorized Official Name and Position | Justine Waldman (CEO) |
| Authorized Official Contact | 6072798855 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reach Medical 402 N Cayuga St Ithaca NY 14850-4291 Ph: (607) 273-7000 | Reach Medical 402 N Cayuga St Ithaca NY 14850-4291 Ph: (607) 273-7000 |
| NPI Number | 1124648316 |
|---|---|
| Provider Enumeration Date | 04/17/2020 |
| Last Update Date | 04/23/2020 |
| Medicare PECOS PAC ID | 4688090889 |
|---|---|
| Medicare Enrollment ID | O20200819000296 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124648316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Richard Lloyd Allen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932207032 PECOS PAC ID: 8527168285 Enrollment ID: I20070710000653 |
| Provider Name | Christine V Lorenzo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801981402 PECOS PAC ID: 2567562275 Enrollment ID: I20070711000060 |
| Provider Name | Justine L Waldman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659471845 PECOS PAC ID: 3971672437 Enrollment ID: I20080523000241 |
| Provider Name | Barbara A Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134261993 PECOS PAC ID: 7911030903 Enrollment ID: I20100728000011 |
| Provider Name | William David Larsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124409099 PECOS PAC ID: 1153635602 Enrollment ID: I20150729007012 |
| Provider Name | Leia Raphaelidis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790851814 PECOS PAC ID: 1850697939 Enrollment ID: I20160316000682 |
| Provider Name | Samara Touchton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760842314 PECOS PAC ID: 2264722685 Enrollment ID: I20160526000264 |
| Provider Name | Judith Louise Griffin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356629240 PECOS PAC ID: 4284852211 Enrollment ID: I20161005000967 |
| Provider Name | Robin S Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578081329 PECOS PAC ID: 9931460805 Enrollment ID: I20180409000267 |
| Provider Name | Jessye Cohen-filipic |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174857353 PECOS PAC ID: 1759612583 Enrollment ID: I20200217004542 |
| Provider Name | Mario Remedios Ortiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265826226 PECOS PAC ID: 1153752779 Enrollment ID: I20200515000853 |
| Provider Name | Sara Finegan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538758552 PECOS PAC ID: 3072920339 Enrollment ID: I20210402000332 |
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