Internal Medicine Associates Of The Southern Tier, Pc

LBN: Internal Medicine Associates Of The Southern Tier, Pc
Internal Medicine Associates Of The Southern Tier, Pc is an health care organization with primary practice located at 200 Madison Ave , Elmira NY 14901-3218. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Internal Medicine Associates Of The Southern Tier, Pc can be contacted via phone (607) 734-1581, or through Russo, Christopher J via phone (607) 734-1581.

Contact Information

Primary practice address
200 Madison Ave Elmira NY 14901-3218
Phone: (607) 734-1581
Fax: (607) 767-4109
Website:
Map and Directions
Authorized official contact:
Name: Russo, Christopher J
Phone: (607) 734-1581

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1902902224
LBN Legal business name Internal Medicine Associates Of The Southern Tier, Pc
DBA Doing business as
Authorized official Russo, Christopher J
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2006
Last updated Mar 20th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902902224 NPPES
New York MEDICAID 01770805

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