NPI | 1396492369 |
---|---|
Former Legal Business Name | SOUTHERN TIER FAMILY NURSE PRACTITIONER SERVICES |
Entity Type | Organization |
Authorized Contact | DANIEL BABCOCK Owner 607-677-0011 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2022-03-09 |
Last Update Date | 2022-03-09 |