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Jody Stackman, M.D

NPI 1457353666 · on the registry since 2005

Practice

Address: 8 Brentwood Dr
Suite B
Ithaca, NY 14850
Phone: (607) 273-6757
Fax: (607) 273-2854
Organisation at this address: Cayuga Medical Associates, Inc.
Family Medicine Associates Of Ithaca
Drs Ferrer And Monaghan Vein And Aesthetic Center Llp
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 12

Registry record

Primary taxonomy: 2084N0400X
2084N0400X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2013-07-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York