National Provider Identifier

Ithaca Urology PLLC

Ithaca Urology PLLC is listed in the NPPES registry with a primary specialty of Urology Physician in Ithaca, NY and a listed phone number of (607) 273-8502.

NPI 1427009802Ithaca, NYUrology Physician

Source: public NPPES record, last updated May 21, 2012. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1427009802
Provider Type
Organization
Primary Specialty
Urology Physician
Enumeration Date
May 12, 2006
Last Updated
May 21, 2012

Practice Location

  • 1301 Trumansburg Road
  • Suite M
  • Ithaca, NY 14850

Phone: (607) 273-8502

Mailing Address

  • 202 Taughannock Blvd
  • PO Box 366
  • Ithaca, NY 14851

Authorized Official

Name
Dr. Sami Husseini
Title
Owner/Physician
Credentials
MD
Phone
(607) 273-8502

Specialties

  • Urology Physician (208800000X)

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Full Record
NPI
1427009802
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Ithaca Urology PLLC
Mailing Street Address
202 Taughannock Blvd
Mailing Address Line 2
PO Box 366
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14851
Mailing Country
US
Mailing Phone
(607) 277-3257
Mailing Fax
(607) 277-4056
Practice Street Address
1301 Trumansburg Road
Practice Address Line 2
Suite M
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850
Practice Country
US
Practice Phone
(607) 273-8502
Practice Fax
(607) 273-6115
Enumeration Date
May 12, 2006
Last Updated
May 21, 2012
Authorized Official Last Name
Husseini
Authorized Official First Name
Sami
Authorized Official Title
Owner/Physician
Authorized Official Phone
(607) 273-8502
Organization Subpart
No
Authorized Official Name Prefix Text
Dr.
Authorized Official Credential Text
MD
Taxonomy Group 1
193200000X Multi-Specialty Group
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Urology Physician (208800000X)