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TIER ENT ASSOCIATES PC NPI 1396842506


NPI Information

NPI: 1396842506
Provider Name: TIER ENT ASSOCIATES, PC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
15 RIVERSIDE DR
JOHNSON CITY, NY
ZIP 13790
Phone: (607) 770-9050
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TIER ENT ASSOCIATES, PC is a medical specialty clinic center in Johnson City, NY. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). TIER ENT ASSOCIATES, PC NPI is 1396842506. The provider is registered as an organization entity type.

The provider's business location address is:

15 RIVERSIDE DR
JOHNSON CITY, NY
ZIP 13790-742
Phone: (607) 770-9050
Fax: (607) 770-9091

The provider's authorized official is Jeffrey M King .
The authorized official title is President/phycician and has the following contact phone number (607) 770-9050.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 2/28/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2500XClinic/CenterMedical Specialty193960-1NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F69641MEDICARE UPINNEW YORK
200608737MEDICAIDNEW YORK

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

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