| Southern Tier Medical Care - Ny Pc | |
|
169 Riverside Dr Binghamton NY 13905-4246 | |
| (607) 798-5742 | |
| Not Available |
| Full Name | Southern Tier Medical Care - Ny Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 169 Riverside Dr, Binghamton, New York |
| Authorized Official Name and Position | Jagraj Rai (PRESIDENT) |
| Authorized Official Contact | 6077985742 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Tier Medical Care - Ny Pc 169 Riverside Dr Binghamton NY 13905-4246 Ph: () - | Southern Tier Medical Care - Ny Pc 169 Riverside Dr Binghamton NY 13905-4246 Ph: (607) 798-5742 |
| NPI Number | 1134646276 |
|---|---|
| Provider Enumeration Date | 08/29/2017 |
| Last Update Date | 08/29/2017 |
| Medicare PECOS PAC ID | 4981953106 |
|---|---|
| Medicare Enrollment ID | O20180822000720 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134646276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Linda J Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063482149 PECOS PAC ID: 4486642154 Enrollment ID: I20040503000563 |
| Provider Name | Gregory A Hritcko |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639241565 PECOS PAC ID: 8224010210 Enrollment ID: I20040603000594 |
| Provider Name | Shannon M Daugherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669441044 PECOS PAC ID: 7113902016 Enrollment ID: I20040623001387 |
| Provider Name | Shannan R Russ |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457405144 PECOS PAC ID: 2264412683 Enrollment ID: I20040724000211 |
| Provider Name | Rodrigo T Samodal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710951249 PECOS PAC ID: 8325014558 Enrollment ID: I20040908001230 |
| Provider Name | Patricia D Pavlick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730153735 PECOS PAC ID: 1052337375 Enrollment ID: I20051017000496 |
| Provider Name | Charles A Morrow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093791402 PECOS PAC ID: 2860413416 Enrollment ID: I20051212000497 |
| Provider Name | Jessica A Koscelnak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053388801 PECOS PAC ID: 0143236232 Enrollment ID: I20060228000630 |
| Provider Name | Marian Goldsmith |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1093742181 PECOS PAC ID: 6507867413 Enrollment ID: I20070119000323 |
| Provider Name | Paul Plez Tinsley |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1689669707 PECOS PAC ID: 4183716301 Enrollment ID: I20070817000300 |
| Provider Name | Jeffrey M King |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1992795116 PECOS PAC ID: 1658267828 Enrollment ID: I20080422000657 |
| Provider Name | Dermot M Reynolds |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487627139 PECOS PAC ID: 0547257305 Enrollment ID: I20090918000273 |
| Provider Name | Teresea G Leary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053646232 PECOS PAC ID: 2062553894 Enrollment ID: I20091230000579 |
| Provider Name | Stephen G Federowicz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043234362 PECOS PAC ID: 5597719005 Enrollment ID: I20100108000233 |
| Provider Name | Brett Dietzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255561825 PECOS PAC ID: 0648314732 Enrollment ID: I20100212000141 |
| Provider Name | Mala V Sutton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851366686 PECOS PAC ID: 1850586363 Enrollment ID: I20101110000510 |
| Provider Name | Myung Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205141637 PECOS PAC ID: 1759578743 Enrollment ID: I20101202000945 |
| Provider Name | Renee P Fonseca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407177793 PECOS PAC ID: 9335336239 Enrollment ID: I20101203001005 |
| Provider Name | Sharon P Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083992093 PECOS PAC ID: 1456521681 Enrollment ID: I20110826000124 |
| Provider Name | Tayyebeh Borogerdi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346598950 PECOS PAC ID: 4789823089 Enrollment ID: I20130618000286 |
| Provider Name | Tiffany Johnson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013078146 PECOS PAC ID: 4183866346 Enrollment ID: I20130819000111 |
| Provider Name | Megan M Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881030765 PECOS PAC ID: 4981833068 Enrollment ID: I20140213000358 |
| Provider Name | Derrick J Hoover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043444573 PECOS PAC ID: 1355506791 Enrollment ID: I20150727002168 |
| Provider Name | Karen C Cerinetti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508836495 PECOS PAC ID: 6901996073 Enrollment ID: I20160411001561 |
| Provider Name | Alan Demaine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922427178 PECOS PAC ID: 4284859448 Enrollment ID: I20180717001448 |
| Provider Name | John Caruso |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659650992 PECOS PAC ID: 8628367125 Enrollment ID: I20180806001396 |
| Provider Name | Sarah Elizabeth Sterns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699150813 PECOS PAC ID: 5799037586 Enrollment ID: I20181005000249 |
| Provider Name | Samantha Eckhardt |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013569391 PECOS PAC ID: 2062740707 Enrollment ID: I20191014002847 |
| Provider Name | Ashley Eldredge Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316466220 PECOS PAC ID: 7719245745 Enrollment ID: I20200823000021 |
| Provider Name | Junfeng Xue |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134626054 PECOS PAC ID: 5991045916 Enrollment ID: I20210916000147 |
| Provider Name | Hannah Elizabeth Cashman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508586413 PECOS PAC ID: 5496121436 Enrollment ID: I20221017002593 |
| Provider Name | Elizabeth Anne Morrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902528656 PECOS PAC ID: 0547638322 Enrollment ID: I20221129001649 |
| Provider Name | Arthur J Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164146056 PECOS PAC ID: 0042680670 Enrollment ID: I20221223000198 |
| Provider Name | Michelle Stroup |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174155683 PECOS PAC ID: 2466882451 Enrollment ID: I20230112001992 |
| Provider Name | Michael Stadiem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750342168 PECOS PAC ID: 6002886355 Enrollment ID: I20230207002462 |
| Provider Name | Maria Scorzelli Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760122550 PECOS PAC ID: 3678920113 Enrollment ID: I20231106001840 |
United Medical Associates Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 33 Lewis Road, 2nd Floor, Binghamton, NY 13905 Phone: 607-770-0025 | |
Chrysalis Medical Wellness Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 Park Ave, Binghamton, NY 13903 Phone: 607-232-3304 | |
Lourdes Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 169 Riverside Dr, Binghamton, NY 13905 Phone: 607-584-5459 Fax: 607-584-5482 | |
Jerome C Cohen, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 161 Riverside Dr, Suite 210, Binghamton, NY 13905 Phone: 607-770-1155 Fax: 607-770-1968 | |
Broome Gastroenterology Assoc, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 161 Riverside Drive, Suite 102, Binghamton, NY 13905 Phone: 607-729-1444 Fax: 607-729-7086 | |
Richard L Blansky Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 161 Riverside Dr, Suite 210, Binghamton, NY 13905 Phone: 607-770-1155 Fax: 607-770-1968 |