National Provider Identifier
James L Distin, D.O.
James L Distin, D.O. is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician in Elmira, NY and a listed phone number of (607) 737-8157.
Profile Overview
- NPI
- 1336672492
- Provider Type
- Individual
- Primary Specialty
- Emergency Medicine Physician
- Enumeration Date
- April 06, 2017
- Last Updated
- August 12, 2020
Practice Location
- 600 Roe Ave
- Elmira, NY 14905-1629
Phone: (607) 737-8157
Mailing Address
- 33-57 Harrison St
- Johnson City, NY 13790-2107
Specialties
- Emergency Medicine Physician (207P00000X)
Full Record
- NPI
- 1336672492
- Entity Type
- Individual
- Last Name
- Distin
- First Name
- James
- Middle Name
- L
- Name Prefix
- Dr.
- Credential
- D.O.
- Mailing Street Address
- 33-57 Harrison St
- Mailing City
- Johnson City
- Mailing State
- NY
- Mailing ZIP Code
- 13790-2107
- Mailing Country
- US
- Mailing Phone
- (607) 763-6311
- Practice Street Address
- 600 Roe Ave
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14905-1629
- Practice Country
- US
- Practice Phone
- (607) 737-8157
- Practice Fax
- (607) 271-3664
- Enumeration Date
- April 06, 2017
- Last Updated
- August 12, 2020
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- August 12, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Emergency Medicine Physician (207P00000X)