Provider Demographics
NPI:1457640229
Name:OSTEOPATHY MATTERS, PLLC
Entity Type:Organization
Organization Name:OSTEOPATHY MATTERS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:KATHLEEN
Authorized Official - Last Name:BUDNER-GENTRY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:607-257-0900
Mailing Address - Street 1:200 PLEASANT GROVE RD
Mailing Address - Street 2:6
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850-2664
Mailing Address - Country:US
Mailing Address - Phone:607-257-0900
Mailing Address - Fax:607-257-0997
Practice Address - Street 1:200 PLEASANT GROVE RD
Practice Address - Street 2:6
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-2664
Practice Address - Country:US
Practice Address - Phone:607-257-0900
Practice Address - Fax:607-257-0997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-01
Last Update Date:2011-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center