National Provider Identifier
Gastroenterology Associates Of The Southern Tier
Gastroenterology Associates Of The Southern Tier is listed in the NPPES registry with a primary specialty of Gastroenterology Physician in Elmira, NY and a listed phone number of (607) 734-7121.
Source: public NPPES record, last updated April 10, 2008. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1134226491
- Provider Type
- Organization
- Primary Specialty
- Gastroenterology Physician
- Enumeration Date
- September 20, 2006
- Last Updated
- April 10, 2008
Practice Location
- 378 W Church St
- Elmira, NY 14901-2621
Phone: (607) 734-7121
Authorized Official
- Name
- Dr. Bruno Robert Mazza
- Title
- Physician
- Credentials
- MD
- Phone
- (607) 734-7121
Specialties
- Gastroenterology Physician (207RG0100X)
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Full Record
- NPI
- 1134226491
- Entity Type
- Organization
- Organization Name
- Gastroenterology Associates Of The Southern Tier
- Mailing Street Address
- 378 W Church St
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-2621
- Mailing Country
- US
- Mailing Phone
- (607) 734-7121
- Mailing Fax
- (607) 734-0614
- Practice Street Address
- 378 W Church St
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14901-2621
- Practice Country
- US
- Practice Phone
- (607) 734-7121
- Practice Fax
- (607) 734-0614
- Enumeration Date
- September 20, 2006
- Last Updated
- April 10, 2008
- Authorized Official Last Name
- Mazza
- Authorized Official First Name
- Bruno
- Authorized Official Middle Name
- Robert
- Authorized Official Title
- Physician
- Authorized Official Phone
- (607) 734-7121
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- Dr.
- Authorized Official Credential Text
- MD
- Taxonomy Group 1
- 193200000X Multi-Specialty Group
- Taxonomies
- Gastroenterology Physician (207RG0100X)
- Other Identifiers
- CN0726 (NY, Railroad Medicare Group #)