National Provider Identifier
Practitioner Services Of The Southern Tier
Practitioner Services Of The Southern Tier is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Elmira, NY and a listed phone number of (607) 734-8039.
Source: public NPPES record, last updated July 01, 2008. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1427231919
- Provider Type
- Organization
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- December 07, 2007
- Last Updated
- July 01, 2008
Practice Location
- 739 Larchmont RD
- Elmira, NY 14905-1216
Phone: (607) 734-8039
Authorized Official
- Name
- Mary Johanna Foster
- Title
- President
- Credentials
- N.P.
- Phone
- (607) 734-8039
Specialties
- Internal Medicine Physician (207R00000X)
- Nurse Practitioner (363L00000X)
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Full Record
- NPI
- 1427231919
- Entity Type
- Organization
- Organization Name
- Practitioner Services Of The Southern Tier
- Mailing Street Address
- 739 Larchmont RD
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14905-1216
- Mailing Country
- US
- Mailing Phone
- (607) 734-8039
- Practice Street Address
- 739 Larchmont RD
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14905-1216
- Practice Country
- US
- Practice Phone
- (607) 734-8039
- Enumeration Date
- December 07, 2007
- Last Updated
- July 01, 2008
- Authorized Official Last Name
- Foster
- Authorized Official First Name
- Mary
- Authorized Official Middle Name
- Johanna
- Authorized Official Title
- President
- Authorized Official Phone
- (607) 734-8039
- Organization Subpart
- No
- Authorized Official Credential Text
- N.P.
- Taxonomy Group 1
- 193400000X Multiple Single Specialty Group
- Taxonomy Group 2
- 193400000X Multiple Single Specialty Group
- Taxonomies
- Internal Medicine Physician (207R00000X), Nurse Practitioner (363L00000X)