| Gastroenterology Associates Of The Southern Tier | |
|
378 W Church St Elmira NY 14901-2621 | |
| (607) 734-7121 | |
| (607) 734-0614 |
| Full Name | Gastroenterology Associates Of The Southern Tier |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 378 W Church St, Elmira, New York |
| Authorized Official Name and Position | Bruno Robert Mazza (PHYSICIAN) |
| Authorized Official Contact | 6077347121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology Associates Of The Southern Tier 378 W Church St Elmira NY 14901-2621 Ph: (607) 734-7121 | Gastroenterology Associates Of The Southern Tier 378 W Church St Elmira NY 14901-2621 Ph: (607) 734-7121 |
| NPI Number | 1134226491 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 04/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134226491 | NPI | - | NPPES |
| CN0726 | Other | NY | RAILROAD MEDICARE GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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