National Provider Identifier
Meredith Sax Bourne, MD
Meredith Sax Bourne, MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Ithaca, NY and a listed phone number of (607) 219-4600.
Profile Overview
- NPI
- 1134530504
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- May 19, 2014
- Last Updated
- December 08, 2022
Practice Location
- 720 Willow Ave
- Ithaca, NY 14850-3215
Phone: (607) 219-4600
Mailing Address
- 1 Guthrie Sq
- Sayre, PA 18840-1625
Specialties
- Family Medicine Physician (207Q00000X)
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1134530504
- Entity Type
- Individual
- Last Name
- Bourne
- First Name
- Meredith
- Middle Name
- Sax
- Credential
- MD
- Mailing Street Address
- 1 Guthrie Sq
- Mailing City
- Sayre
- Mailing State
- PA
- Mailing ZIP Code
- 18840-1625
- Mailing Country
- US
- Mailing Phone
- (570) 888-5858
- Practice Street Address
- 720 Willow Ave
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-3215
- Practice Country
- US
- Practice Phone
- (607) 219-4600
- Enumeration Date
- May 19, 2014
- Last Updated
- December 08, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 08, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X), Family Medicine Physician (207Q00000X)