Provider Demographics
NPI:1588862395
Name:ANDREW R. GETZIN, M.D., P.C.
Entity type:Organization
Organization Name:ANDREW R. GETZIN, M.D., P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:GETZIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:607-252-3580
Mailing Address - Street 1:310 TAUGHANNOCK BLVD
Mailing Address - Street 2:SUITE 5A
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850-3231
Mailing Address - Country:US
Mailing Address - Phone:607-252-3580
Mailing Address - Fax:
Practice Address - Street 1:310 TAUGHANNOCK BLVD
Practice Address - Street 2:SUITE 5A
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-3231
Practice Address - Country:US
Practice Address - Phone:607-252-3580
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-03
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports MedicineGroup - Single Specialty