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CHRISTIAN D. TVETENSTRAND MD PLLC NPI 1679526669


NPI Information

NPI: 1679526669
Provider Name: CHRISTIAN D. TVETENSTRAND MD, PLLC

Doing Business As: SOUTHERN TIER SURGICAL CLINIC

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
30 HARRISON ST
SUITE 320
JOHNSON CITY, NY
ZIP 13790
Phone: (607) 763-8205
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CHRISTIAN D. TVETENSTRAND MD, PLLC is a specialist in Johnson City, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CHRISTIAN D. TVETENSTRAND MD, PLLC NPI is 1679526669. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Southern Tier Surgical Clinic.

The provider's business location address is:

30 HARRISON ST
SUITE 320
JOHNSON CITY, NY
ZIP 13790-161
Phone: (607) 763-8205
Fax: (607) 763-8208

The provider's authorized official is Christian Dahn Tvetenstrand .
The authorized official title is President and has the following contact phone number (607) 763-8205.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 11/19/2020.


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
1174400000XSpecialist178438NEW YORKYes
2363AS0400XPhysician AssistantSurgical011154NEW YORKNo

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
101135079MEDICAIDNEW 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: 11/14/2023

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