Provider Demographics
NPI:1316949522
Name:GAFFNEY, JAMES S (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:S
Last Name:GAFFNEY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:905 HANSHAW ROAD
Mailing Address - Street 2:SUIT A
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850-1871
Mailing Address - Country:US
Mailing Address - Phone:607-273-6757
Mailing Address - Fax:607-273-2854
Practice Address - Street 1:8 BRENTWOOD DR
Practice Address - Street 2:SUITE B
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-1871
Practice Address - Country:US
Practice Address - Phone:607-273-6757
Practice Address - Fax:607-273-2854
Is Sole Proprietor?:No
Enumeration Date:2005-06-01
Last Update Date:2019-04-02
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Provider Licenses
StateLicense IDTaxonomies
NY1655122084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01335900Medicaid
NYF27506Medicare UPIN
NY01335900Medicaid