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DR. DONNA R. SANDIDGE M.D.

Allergy and Immunology

Ithaca, New York

Provider NPI: 1770557209

Provider Information:
DR. DONNA R. SANDIDGE M.D.


Practice Location:
310 TAUGHANNOCK BLVD SUITE 310 ITHACA, NY 14850 US
Tel: 607-252-3590  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207R00000XPhysicians
Internal Medicine
NY220140

Other Provider Identifiers:

IssuerNumberStateType
RR MEDICARE PIN030004925NY01
02154516NY05
0018306520001PA05
RR MEDICARE GROUPCC8362NY01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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