Southern Tier Pediatrics Practice, P.C.
LBN: Southern Tier Pediatrics Practice, P.C.
Southern Tier Pediatrics Practice, P.C. is an health care organization with primary practice located at 1684 Foote Avenue Ext , Jamestown NY 14701-9385. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty.
Southern Tier Pediatrics Practice, P.C. can be contacted via phone (716) 661-9730, or through Khan, Tariq M via phone (716) 661-9730.
Contact Information
Primary practice address
1684 Foote Avenue Ext
Jamestown NY 14701-9385
Phone: (716) 661-9730
Fax: (716) 661-9732
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 207469 | New York |
Profile Details
| NPI number | 1710902200 |
|---|---|
| LBN Legal business name | Southern Tier Pediatrics Practice, P.C. |
| DBA Doing business as | |
| Authorized official | Khan, Tariq M Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 13th, 2006 |
| Last updated | May 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710902200 | NPPES |
| New York | MEDICAID | 02690682 | |
| New York | MEDICAID | 01664951 |
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