National Provider Identifier

Alan Vesten Ipson

Alan Vesten Ipson is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Ithaca, NY and a listed phone number of (607) 272-7000.

NPI 1285808824Ithaca, NYSurgical Physician Assistant

Profile Overview

NPI
1285808824
Provider Type
Individual
Primary Specialty
Surgical Physician Assistant
Enumeration Date
April 15, 2008
Last Updated
April 24, 2017

Practice Location

  • Orthopedic Services Of Cma
  • 16 Brentwood Drive
  • Ithaca, NY 14850

Phone: (607) 272-7000

Specialties

  • Surgical Physician Assistant (363AS0400X)
Full Record
NPI
1285808824
Entity Type
Individual
Last Name
Ipson
First Name
Alan
Middle Name
Vesten
Name Prefix
Mr.
Mailing Street Address
Orthopedic Services Of Cma
Mailing Address Line 2
16 Brentwood Drive
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850
Mailing Country
US
Mailing Phone
(607) 272-7000
Mailing Fax
(607) 272-4604
Practice Street Address
Orthopedic Services Of Cma
Practice Address Line 2
16 Brentwood Drive
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850
Practice Country
US
Practice Phone
(607) 272-7000
Practice Fax
(607) 272-4604
Enumeration Date
April 15, 2008
Last Updated
April 24, 2017
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Surgical Physician Assistant (363AS0400X)
Other Identifiers
03308514 (NY)