PRACTITIONER SERVICES OF THE SOUTHERN TIER

ELMIRA, NY
NPI1427231919
Entity TypeOrganization
Authorized ContactMARY JOHANNA FOSTER
President
607-734-8039
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: NY  206255)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: NY  331091)
Enumeration Date2007-12-07
Last Update Date2008-07-01
Business Address
PRACTITIONER SERVICES OF THE SOUTHERN TIER
739 LARCHMONT RD
ELMIRA, NY 14905-1216
Phone number: 607-734-8039
Mailing Address
PRACTITIONER SERVICES OF THE SOUTHERN TIER
739 LARCHMONT RD
ELMIRA, NY 14905-1216
Phone number: 607-734-8039