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ITHACA OUTPATIENT CLINIC
NPI 1952435729
Clinic/Center - VA in Ithaca, NY

Active since March 15, 2007
10 ARROWOOD DR, ITHACA, NY 14850(315) 425-4400 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • VA

About ITHACA OUTPATIENT CLINIC

This page provides the complete NPI Profile along with additional information for Ithaca Outpatient Clinic, a provider established in Ithaca, New York operating as a Clinic/center, focusing in va . The healthcare provider is registered in the NPI registry with number 1952435729 assigned on March 2007. The practitioner's primary taxonomy code is 261QV0200X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Barbara Mayerick (Director, Business Development)

NPI
1952435729 Verify this NPI
Provider Name
ITHACA OUTPATIENT CLINIC
Entity Type
Organization
Location Address
10 ARROWOOD DR ITHACA, NY 14850
Location Phone
(315) 425-4400
Mailing Address
10 ARROWOOD DR ITHACA, NY 14850
Mailing Phone
(315) 425-4400
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-15-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center VA

Taxonomy Code
261QV0200X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BARBARA MAYERICK

Authorized Official Title
DIRECTOR, BUSINESS DEVELOPMENT
Authorized Official Phone
(202) 254-0339

Reviews for ITHACA OUTPATIENT CLINIC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

DR. JAMES LAMOTT DARLING M.D.
Family Medicine
10 ARROWOOD DR, CONVENIENT CARE CENTER
ITHACA, NY 14850
Tompkins County (607) 274-4150
WARREN CONVENIENT CARE PHYSICIANS
Emergency Medicine
10 ARROWOOD DR
ITHACA, NY 14850
Tompkins County (607) 274-4150
ELIZABETH MERCER PAC
Physician Assistant
10 ARROWOOD DR
ITHACA, NY 14850
Tompkins County (607) 753-3705
MR. TIMOTHY JOHN KUJAWSKI PA
Physician Assistant
10 ARROWOOD DR
ITHACA, NY 14850
Tompkins County (607) 274-4150
LYNDSEY ANN ARMSTRONG PA
Physician Assistant
10 ARROWOOD DR
ITHACA, NY 14850
Tompkins County (607) 274-4150

Frequently Asked Questions

What is ITHACA OUTPATIENT CLINIC's NPI number?

The NPI number assigned to this healthcare provider is 1952435729, enumerated as an "organization" on March 15, 2007.

Where is the provider located?

The provider is located at 10 ARROWOOD DR ITHACA, NY 14850 and the phone number is (315) 425-4400.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QV0200X and a focus in VA.