SOUTHERN TIER FAMILY NURSE PRACTITIONER SERVICES NPI 1396492369

NPI Information

NPI: 1396492369
Provider Name: SOUTHERN TIER FAMILY NURSE PRACTITIONER SERVICES
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
520 COLUMBIA DR STE 203
JOHNSON CITY, NY
ZIP 13790
Phone: (607) 677-0011
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SOUTHERN TIER FAMILY NURSE PRACTITIONER SERVICES is a primary care clinic center in Johnson City, NY. SOUTHERN TIER FAMILY NURSE PRACTITIONER SERVICES NPI is 1396492369. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

520 COLUMBIA DR STE 203
JOHNSON CITY, NY
ZIP 13790-305
Phone: (607) 677-0011

The provider's authorized official is Daniel Babcock .
The authorized official title is Owner and has the following contact phone number (607) 677-0011.

The enumeration date for this NPI number is 3/9/2022 and was last updated on 3/9/2022.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine				No
2	261QP2300X	Clinic/Center	Primary Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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