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TIER PEDIATRICS LLC NPI 1952971715


NPI Information

NPI: 1952971715
Provider Name: TIER PEDIATRICS LLC
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

CLIA Number: 33D0881204

Address:
256 HARRY L DR
JOHNSON CITY, NY
ZIP 13790
Phone: (607) 777-9475
Get Directions

TIER PEDIATRICS LLC is an adolescent medicine pediatrics in Johnson City, NY. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. TIER PEDIATRICS LLC NPI is 1952971715. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

256 HARRY L DR
JOHNSON CITY, NY
ZIP 13790-423
Phone: (607) 777-9475

The provider's authorized official is Nasreen Battla .
The authorized official title is Owner and has the following contact phone number (607) 624-2928.

The CLIA number assigned to this NPI record is 33D0881204 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/24/2021 and was last updated on 6/24/2021.


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
12080A0000XPediatricsAdolescent MedicineYes

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
101150325MEDICAIDNEW 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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