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SOUTHERN TIER ONCOLOGY LLC NPI 1952469769


NPI Information

NPI: 1952469769
Provider Name: SOUTHERN TIER ONCOLOGY LLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
21 ORCHARD ST
HORNELL, NY
ZIP 14843
Phone: (607) 324-0061
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SOUTHERN TIER ONCOLOGY LLC is a specialist in Hornell, 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. SOUTHERN TIER ONCOLOGY LLC NPI is 1952469769. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

21 ORCHARD ST
HORNELL, NY
ZIP 14843-111
Phone: (607) 324-0061
Fax: (607) 324-7547

The provider's authorized official is Pradeep Sharda .
The authorized official title is Director and has the following contact phone number (607) 324-0061.

The enumeration date for this NPI number is 12/5/2006 and was last updated on 3/21/2008.


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
1174400000XSpecialist203720NEW YORKNo
2174400000XSpecialist203350NEW 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
1G28789MEDICARE UPINNEW YORK
2G51103MEDICARE UPINNEW YORK
3AA0728MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
401678477MEDICAIDNEW YORK
501732576MEDICAIDNEW YORK
64617000001MEDICARE NSCNEW 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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