National Provider Identifier

Jeffrey P Kadlecik, D.P.M.

Jeffrey P Kadlecik, D.P.M. is listed in the NPPES registry with a primary specialty of Foot Surgery Podiatrist in Ithaca, NY and a listed phone number of (607) 257-7700.

NPI 1235224494Ithaca, NYFoot Surgery Podiatrist

Profile Overview

NPI
1235224494
Provider Type
Individual
Primary Specialty
Foot Surgery Podiatrist
Enumeration Date
October 04, 2006
Last Updated
June 18, 2008

Practice Location

  • 2333 N Triphammer RD
  • Suite 202
  • Ithaca, NY 14850-1082

Phone: (607) 257-7700

Specialties

  • Foot Surgery Podiatrist (213ES0131X)
Full Record
NPI
1235224494
Entity Type
Individual
Last Name
Kadlecik
First Name
Jeffrey
Middle Name
P
Credential
D.P.M.
Mailing Street Address
2333 N Triphammer RD
Mailing Address Line 2
Suite 202
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-1082
Mailing Country
US
Mailing Phone
(607) 257-7700
Mailing Fax
(607) 257-1237
Practice Street Address
2333 N Triphammer RD
Practice Address Line 2
Suite 202
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-1082
Practice Country
US
Practice Phone
(607) 257-7700
Practice Fax
(607) 257-1237
Enumeration Date
October 04, 2006
Last Updated
June 18, 2008
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Foot Surgery Podiatrist (213ES0131X)
Other Identifiers
02195908 (NY), 223797623 (Tax Id)