| Full Name | |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 1 Park Pl, Elmira, New York |
| Authorized Official Name and Position | Wendy Fiscus (DIRECTOR OF HEALTH SERVICES) |
| Authorized Official Contact | 6077351750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1 Park Pl Elmira NY 14901-2085 Ph: (607) 735-1750 | 1 Park Pl Elmira NY 14901-2085 Ph: (607) 735-1750 |
| NPI Number | 1063040095 |
|---|---|
| Provider Enumeration Date | 03/27/2020 |
| Last Update Date | 04/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063040095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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