Healthcare Provider Details

I. General information

NPI: 1770535528
Provider Name (Legal Business Name): JAMES LAMOTT DARLING M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 10/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 ARROWOOD DR CONVENIENT CARE CENTER
ITHACA NY
14850-1867
US

IV. Provider business mailing address

1300 SPRING STREET EXT
GROTON NY
13073-8711
US

V. Phone/Fax

Practice location:
  • Phone: 607-274-4150
  • Fax: 607-257-3550
Mailing address:
  • Phone: 607-898-4026
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number217068
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number217068
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: