National Provider Identifier
Molly M Kornblum
Molly M Kornblum is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Ithaca, NY and a listed phone number of (607) 273-1526.
Profile Overview
- NPI
- 1770959710
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- August 13, 2015
- Last Updated
- August 13, 2015
Practice Location
- 620 W Seneca St
- Ithaca, NY 14850-3326
Phone: (607) 273-1526
Specialties
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1770959710
- Entity Type
- Individual
- Last Name
- Kornblum
- First Name
- Molly
- Middle Name
- M
- Mailing Street Address
- 620 W Seneca St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-3326
- Mailing Country
- US
- Mailing Phone
- (607) 273-1526
- Mailing Fax
- (607) 216-0039
- Practice Street Address
- 620 W Seneca St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-3326
- Practice Country
- US
- Practice Phone
- (607) 273-1526
- Practice Fax
- (607) 216-0039
- Enumeration Date
- August 13, 2015
- Last Updated
- August 13, 2015
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)