Cortland Pathology PC

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

201857 Issued in NY

Legal business name

CORTLAND PATHOLOGY PC

Practice address

134 Homer Ave
Cortland, NY 13045-1206

Phone

(607) 756-3500

Fax

(607) 756-3636

NPI assigned

Aug 19, 2005

Last updated

Oct 2, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jun Wang, MDNPI 1205057742

Title

MD-Authorized Official

Phone

(607) 756-3500

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jun Wang, MD, PHD

  • Cytopathology Physician
  • Cortland, NY
  • NPI 1205057742
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1235121831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4567 CROSSROADS PARK DR",
            "address_2": "2ND FLOOR",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130883589",
            "telephone_number": "315-295-2100",
            "fax_number": "315-295-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 HOMER AVE",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130451206",
            "telephone_number": "607-756-3500",
            "fax_number": "607-756-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORTLAND PATHOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-19",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "JUN",
        "authorized_official_title_or_position": "MD-AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "607-756-3500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "201857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cortland Medical Associates, PC
• Cortland Medical Care, PC
• Cortland Memorial Radiology, PC
• Cortland Operating Co LLC
• Cortland Ophthalmological Care, PLLC (Cortland Eye Center)
• Cortland Physical Therapy & Sports Rehabilitation
• Cortland Podiatry Associates PC
• Cortland Surgical Associates,P.C.
• John Cottone, EDD
• Michelle Cottrell, NP

• Anatomic Pathology & Clinical Pathology Physician in Cortland, NY
• Providers in Cortland, NY by specialty
• Anatomic Pathology & Clinical Pathology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.