Healthcare Provider Details

I. General information

NPI: 1063434975
Provider Name (Legal Business Name): INFECTIOUS DISEASE ASSOCIATES LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 HOSPITAL DR
UTICA NY
13502-2517
US

IV. Provider business mailing address

PO BOX 60
NEW YORK MILLS NY
13417-0060
US

V. Phone/Fax

Practice location:
  • Phone: 315-624-6000
  • Fax: 315-624-4720
Mailing address:
  • Phone: 315-736-2080
  • Fax: 315-736-2162

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number143133
License Number StateNY

VIII. Authorized Official

Name: DR. JAMES L BRAMLEY
Title or Position: PHYSICIAN
Credential: MD
Phone: 315-624-6000