National Provider Identifier

Jessica L Casey

Jessica L Casey is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Ithaca, NY and a listed phone number of (607) 272-6880.

NPI 1710076096Ithaca, NYPediatrics Physician

Profile Overview

NPI
1710076096
Provider Type
Individual
Primary Specialty
Pediatrics Physician
Enumeration Date
October 12, 2006
Last Updated
July 08, 2007

Practice Location

  • 1301 Trumansburg RD
  • Suite H
  • Ithaca, NY 14850-1397

Phone: (607) 272-6880

Specialties

  • Pediatrics Physician (208000000X)
Full Record
NPI
1710076096
Entity Type
Individual
Last Name
Casey
First Name
Jessica
Middle Name
L
Mailing Street Address
1301 Trumansburg RD
Mailing Address Line 2
Suite H
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-1397
Mailing Country
US
Mailing Phone
(607) 272-6880
Mailing Fax
(607) 272-1436
Practice Street Address
1301 Trumansburg RD
Practice Address Line 2
Suite H
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-1397
Practice Country
US
Practice Phone
(607) 272-6880
Practice Fax
(607) 272-1436
Enumeration Date
October 12, 2006
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatrics Physician (208000000X)
Other Identifiers
02272517 (NY)