SOUTHERN TIER ONCOLOGY PC NPI 1821047325

NPI Information

  • NPI: 1821047325
  • Provider Name: SOUTHERN TIER ONCOLOGY, PC
  • Classification: Internal Medicine - 207RH0003X
  • Specialization: Hematology & Oncology
  • Entity Type: Organization
  • Address: 600 ROE AVENUE
    ELMIRA, NY
    ZIP 14905
  • Phone: (607) 737-8165

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NPI Details

SOUTHERN TIER ONCOLOGY, PC is a hematology and oncology internal medicine in Elmira, NY. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. SOUTHERN TIER ONCOLOGY, PC NPI is 1821047325. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

600 ROE AVENUE
ELMIRA, NY
ZIP 14905
Phone: (607) 737-8165
Fax: (607) 737-8175

The provider's authorized official is Robert Thomas Abderhalden .
The authorized official title is President and has the following contact phone number (607) 737-8165.

The enumeration date for this NPI number is 5/10/2006 and was last updated on 2/1/2010.

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
1207RH0003XInternal MedicineHematology & OncologyYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
153787AMEDICARE ID-TYPE UNSPECIFIEDNEW YORK

What is NPI?

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This page was last updated on: 3/30/2025

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