| Cornell Health | |
|
110 Ho Plaza Ithaca NY 14853 | |
| (607) 255-5155 | |
| (607) 255-0269 |
| Full Name | Cornell Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 110 Ho Plaza, Ithaca, New York |
| Authorized Official Name and Position | Jada Hamilton (DIRECTOR) |
| Authorized Official Contact | 6072557492 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornell Health 110 Ho Plaza Ithaca NY 14853 Ph: (607) 255-5155 | Cornell Health 110 Ho Plaza Ithaca NY 14853 Ph: (607) 255-5155 |
| NPI Number | 1073584926 |
|---|---|
| Provider Enumeration Date | 01/30/2006 |
| Last Update Date | 10/11/2023 |
| Certification Date | 10/11/2023 |
| Medicare PECOS PAC ID | 0446604979 |
|---|---|
| Medicare Enrollment ID | O20231101003611 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073584926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | () | Primary |
| Provider Name | Jada L Hamilton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972610137 PECOS PAC ID: 1355523895 Enrollment ID: I20231101003737 |
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