Organization

Tompkins County

May also be knows as Tompkins County Health Department Clinic

State or Local Public Health Clinic/Center in Ithaca, NY(View on Map)

Legal Business Name

Tompkins County

Also Known As

Tompkins County Health Department Clinic

NPI Number

1306995642

NPI Type

Organization

Enumeration Date

01/09/2007

Specialties

(Taxonomies)

Code

261QP0905X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

55 BROWN RD
55 BROWN RD

City

Ithaca
Ithaca

State

NY
NY

Postal Code

14850-1247
14850-1247

Country

US
US

Telephone Number

(607) 274-6616
(607) 274-6616

Authorized Official

Name

Mrs. Brenda Grinnell-crosby

Title or Position

PUBLIC HEALTH ADMINISTRATOR

Telephone Number

(607) 274-6677

Identifiers

Identifier

000900819000
00356258
7744090

Identifier State

Unknown
NY
Unknown

Identifier Issuer

HEALTH NOW
Unknown
AETNA

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/02/2013

Provider Address