UPSTATE UNIVERSITY CLINICAL CAMPUS MEDICAL GROUP AT BINGHAMTON INC. NPI 1265987325

NPI Information

UPSTATE UNIVERSITY CLINICAL CAMPUS MEDICAL GROUP AT BINGHAMTON, INC. is a neurology psychiatry neurology in Johnson City, NY. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. UPSTATE UNIVERSITY CLINICAL CAMPUS MEDICAL GROUP AT BINGHAMTON, INC. NPI is 1265987325. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Clinical Campus Medical Services Group.

The provider's business location address is:

46 HARRISON ST
JOHNSON CITY, NY
ZIP 13790-120
Phone: (607) 729-6531
Fax: (607) 217-0110

The provider's authorized official is Lenore Lynn Boris .
The authorized official title is Practice Plan Manager and has the following contact phone number (607) 772-3516.

The enumeration date for this NPI number is 8/18/2016 and was last updated on 8/18/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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