NPI Verification
National Provider Identifier: 1023801842
787 Medical PC
Organization
Primary Specialty
Integrative Medicine
Code: 202D00000X
All Specialties (12)
Registered Nurse, Pain Management
Code: 163WP0000X
Phlebology
Code: 202K00000X
Family Medicine, Addiction Medicine
Code: 207QA0401X
Family Medicine, Bariatric Medicine
Code: 207QB0002X
Internal Medicine
Code: 207R00000X
Neurological Surgery
Code: 207T00000X
Physical Medicine & Rehabilitation, Pain Medicine
Code: 2081P2900X
Code: 208VP0000X
Pain Medicine, Interventional Pain Medicine
Code: 208VP0014X
Physician Assistant
Code: 363A00000X
Nurse Practitioner
Code: 363L00000X
Integrative Medicine
Code: 202D00000X
Practice Address
217 OLD ITHACA RD
HORSEHEADS, NY 148451778
Phone: 607-731-4644
NPI Enumeration Date
May 24, 2025
NPI Number
1023801842Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.
View on CMS NPPES Registry