National Provider Identifier
David Eric Ristedt, M.D.
David Eric Ristedt, M.D. is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Ithaca, NY and a listed phone number of (607) 257-5858.
Profile Overview
- NPI
- 1053483974
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- November 15, 2006
- Last Updated
- March 04, 2021
Practice Location
- 1780 Hanshaw RD
- Ithaca, NY 14850-9105
Phone: (607) 257-5858
Specialties
- Family Medicine Physician (207Q00000X)
Endpoints
- dristedt145825@direct-guthrie.org
Direct Messaging Address | Direct | Ithaca, NY 14850
Full Record
- NPI
- 1053483974
- Entity Type
- Individual
- Last Name
- Ristedt
- First Name
- David
- Middle Name
- Eric
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 1780 Hanshaw RD
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-9105
- Mailing Country
- US
- Mailing Phone
- (607) 257-5858
- Practice Street Address
- 1780 Hanshaw RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-9105
- Practice Country
- US
- Practice Phone
- (607) 257-5858
- Enumeration Date
- November 15, 2006
- Last Updated
- March 04, 2021
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- March 04, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)