Basic Information
| Provider Information | |||||||||
| NPI: | 1063579928 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CAYUGA WOMENS MEDICAL HEALTH, PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 202 TAUGHANNOCK BLVD. | ||||||||
| Address2: | PO BOX 366 | ||||||||
| City: | ITHACA | ||||||||
| State: | NY | ||||||||
| PostalCode: | 14851 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6072773257 | ||||||||
| FaxNumber: | 6072774056 | ||||||||
| Practice Location | |||||||||
| Address1: | 1301 TRUMANSBURG ROAD | ||||||||
| Address2: | |||||||||
| City: | ITHACA | ||||||||
| State: | NY | ||||||||
| PostalCode: | 14850 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6072773257 | ||||||||
| FaxNumber: | 6072774056 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/02/2007 | ||||||||
| LastUpdateDate: | 01/27/2010 | ||||||||
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| AuthorizedOfficialLastName: | HUSA | ||||||||
| AuthorizedOfficialFirstName: | CATHERINE | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 6072773257 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207VG0400X | 135834 | NY | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Gynecology |
No ID Information.