National Provider Identifier
Alan T Midura, M.D.
Alan T Midura, 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) 257-5263.
Profile Overview
- NPI
- 1285714469
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- October 16, 2006
- Last Updated
- July 09, 2007
Practice Location
- 209 W State St
- Ithaca, NY 14850-5429
Phone: (607) 257-5263
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1285714469
- Entity Type
- Individual
- Last Name
- Midura
- First Name
- Alan
- Middle Name
- T
- Credential
- M.D.
- Mailing Street Address
- 209 W State St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-5429
- Mailing Country
- US
- Mailing Phone
- (607) 257-5263
- Mailing Fax
- (607) 216-0902
- Practice Street Address
- 209 W State St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-5429
- Practice Country
- US
- Practice Phone
- (607) 257-5263
- Practice Fax
- (607) 216-0902
- Enumeration Date
- October 16, 2006
- Last Updated
- July 09, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)
- Other Identifiers
- 00898908 (NY)