Provider Demographics
NPI:1952322828
Name:ITHACA CARDIOLOGY ASSOCIATES, PC
Entity Type:Organization
Organization Name:ITHACA CARDIOLOGY ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:B
Authorized Official - Last Name:SWISHER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:607-272-0460
Mailing Address - Street 1:2432 N TRIPHAMMER RD
Mailing Address - Street 2:
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850-1014
Mailing Address - Country:US
Mailing Address - Phone:607-272-0460
Mailing Address - Fax:607-275-9739
Practice Address - Street 1:2432 N TRIPHAMMER RD
Practice Address - Street 2:
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-1014
Practice Address - Country:US
Practice Address - Phone:607-272-0460
Practice Address - Fax:607-275-9739
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-23
Last Update Date:2008-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty