OrganizationActive
Kathleen Lilley
NPI 1306229091 · Exclusive Provider Organization · Ithaca, NY
Provider details
- NPI number
- 1306229091
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Kathleen Lilley, Psychotherapist(607) 272-8600
- License
- RO32001 (NY)
Specialties & taxonomies
Managed Care Organizations
Practice location
233 S Albany St
Ithaca, NY 14850-5403
Phone: (607) 272-8600
Approximate (ZIP-level) locationGet directions
Mailing address
233 S Albany St
Ithaca, NY 14850-5403
Registry dates
- Enumerated
- 2015-06-30
- Last updated
- 2015-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.