| Dr Martin Stallone Jr, MD/MBA | |
|
101 Dates Dr, Ithaca, NY 14850-1342 | |
| (607) 274-4189 | |
| Not Available |
| Full Name | Dr Martin Stallone Jr |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Location | 101 Dates Dr, Ithaca, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295751782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01061023A (Indiana) | Secondary |
| 208M00000X | Hospitalist | 12340 (Rhode Island) | Secondary |
| 208M00000X | Hospitalist | 253091 (New York) | Primary |
| Entity Name | Cayuga Medical Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679525455 PECOS PAC ID: 6709897960 Enrollment ID: O20060601000199 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Martin Stallone Jr, MD/MBA 101 Dates Dr, Ithaca, NY 14850-1342 Ph: (607) 274-4189 | Dr Martin Stallone Jr, MD/MBA 101 Dates Dr, Ithaca, NY 14850-1342 Ph: (607) 274-4189 |
Dr. Manish Thakur, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 101 Dates Dr, Ithaca, NY 14850 Phone: 607-274-4011 | |
Dr. Fred Wayne Frankenberg Ii, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 101 Dates Dr, Ithaca, NY 14850 Phone: 607-274-4011 Fax: 607-274-4198 | |
Jarred Johnson, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 101 Dates Dr, Ithaca, NY 14850 Phone: 607-277-2365 Fax: 607-277-0104 | |
Dr. Candice M Oliver, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 101 Dates Dr, Hospitalist Office, Ithaca, NY 14850 Phone: 607-274-4296 Fax: 607-274-4198 |