Provider Demographics
NPI:1003511387
Name:ITURBURU ALTAMIRANO, ALISSON DANIELA (MD)
Entity Type:Individual
Prefix:MS
First Name:ALISSON
Middle Name:DANIELA
Last Name:ITURBURU ALTAMIRANO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:INTERNAL MEDICINE RESIDENCY CAYUGA MEDICAL CENTER.
Mailing Address - Street 2:101 DATES DRIVE,
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850
Mailing Address - Country:US
Mailing Address - Phone:607-274-4225
Mailing Address - Fax:
Practice Address - Street 1:CAYUGA MEDICAL CENTER, 101 DATES DRIVE
Practice Address - Street 2:
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850
Practice Address - Country:US
Practice Address - Phone:607-274-4225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-04
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program