National Provider Identifier
William Supplee, MD
William Supplee, MD is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Ithaca, NY and a listed phone number of (607) 339-0494.
Profile Overview
- NPI
- 1972009785
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- April 02, 2018
- Last Updated
- January 27, 2024
Practice Location
- 101 Dates Dr
- Ithaca, NY 14850-1383
Phone: (607) 339-0494
Specialties
- Internal Medicine Physician (207R00000X)
- Addiction Medicine (Internal Medicine) Physician (207RA0401X)
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1972009785
- Entity Type
- Individual
- Last Name
- Supplee
- First Name
- William
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 101 Dates Dr
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1383
- Mailing Country
- US
- Mailing Phone
- (607) 339-0494
- Practice Street Address
- 101 Dates Dr
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1383
- Practice Country
- US
- Practice Phone
- (607) 339-0494
- Enumeration Date
- April 02, 2018
- Last Updated
- January 27, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- January 27, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X), Addiction Medicine (Internal Medicine) Physician (207RA0401X), Internal Medicine Physician (207R00000X)