National Provider Identifier

Alica Rucekova, MD

Alica Rucekova, MD is listed in the NPPES registry with a primary specialty of Preventive Medicine/Occupational Environmental Medicine Physician in Ithaca, NY and a listed phone number of (607) 257-5858.

NPI 1427200641Ithaca, NYPreventive Medicine/Occupational Environmental Medicine Physician

Profile Overview

NPI
1427200641
Provider Type
Individual
Primary Specialty
Preventive Medicine/Occupational Environmental Medicine Physician
Enumeration Date
October 21, 2008
Last Updated
December 14, 2021

Practice Location

  • 1780 Hanshaw RD
  • Ithaca, NY 14850-9105

Phone: (607) 257-5858

Mailing Address

  • 1 Guthrie Sq
  • Sayre, PA 18840-1625

Specialties

  • Preventive Medicine/Occupational Environmental Medicine Physician (2083P0500X)

Endpoints

  • https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq

    Soap Url | Health Information Exchange (Hie) | Other | The Permanente Medical Group | Vacaville, CA 95688

    Carequality

Full Record
NPI
1427200641
Entity Type
Individual
Last Name
Rucekova
First Name
Alica
Name Prefix
Dr.
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
1780 Hanshaw RD
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-9105
Practice Country
US
Practice Phone
(607) 257-5858
Practice Fax
(607) 257-1718
Enumeration Date
October 21, 2008
Last Updated
December 14, 2021
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Preventive Medicine/Occupational Environmental Medicine Physician (2083P0500X)
Other Identifiers
1022323480001 (PA), 03053270 (NY)