| Internal Medicine Associates Of The Southern Tier, Pc | |
|
200 Madison Ave Elmira NY 14901-3218 | |
| (607) 734-1581 | |
| (607) 767-4109 |
| Full Name | Internal Medicine Associates Of The Southern Tier, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 200 Madison Ave, Elmira, New York |
| Authorized Official Name and Position | Christopher J Russo (DIRECTOR OF INFORMATION SERVICES) |
| Authorized Official Contact | 6077341581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Associates Of The Southern Tier, Pc 200 Madison Ave Elmira NY 14901-3218 Ph: (607) 734-1581 | Internal Medicine Associates Of The Southern Tier, Pc 200 Madison Ave Elmira NY 14901-3218 Ph: (607) 734-1581 |
| NPI Number | 1902902224 |
|---|---|
| Provider Enumeration Date | 09/15/2006 |
| Last Update Date | 03/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902902224 | NPI | - | NPPES |
| 01770805 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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