Southern Tier Pediatrics Practice, P.C. in Jamestown - Adolescent Medicine
Southern Tier Pediatrics Practice, P.C. - NPI 1710902200
Southern Tier Pediatrics Practice, P.C. is a Adolescent Medicine in Jamestown, New York. Southern Tier Pediatrics Practice, P.C. practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Southern Tier Pediatrics Practice, P.C. is 1710902200. The last update date is 2013-05-15.
Southern Tier Pediatrics Practice, P.C.'s current location address is 1684 Foote Avenue Ext, Jamestown, New York. You can contact this provider via phone number 7166619730 and fax number 7166619732. The mailing address for Southern Tier Pediatrics Practice, P.C. is 1684 Foote Avenue Ext, Jamestown, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southern Tier Pediatrics Practice, P.C. |
|---|---|
| Address | 1684 Foote Avenue Ext, Jamestown, New York |
| Phone Number | 7166619730 |
| Fax Number | 7166619732 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Khan M Tariq |
| Credentials | M.D. |
| Telephone Number | 7166619730 |
NPI Number Detail
| NPI Number | 1710902200 |
|---|---|
| Provider Enumeration Date | 2006-07-13 |
| Last Updated Date | 2013-05-15 |
Provider Mailing Address Detail
| Address | 1684 Foote Avenue Ext |
|---|---|
| City | Jamestown |
| State | New York (NY) |
| Post Code | 147019385 |
| Phone Number | 7166619730 |
| Fax Number | 7166619732 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | 207469 |
|
Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2690682 | NY | -- | |
| 1664951 | NY | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Southern Tier Pediatrics Practice, P.C.?
The Southern Tier Pediatrics Practice, P.C. has been issued the NPI (National Provider Identifier) 1710902200 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Southern Tier Pediatrics Practice, P.C. is located?
The Southern Tier Pediatrics Practice, P.C. is situated at the following address: 1684 Foote Avenue Ext, Jamestown, NY, 147019385.
What is Southern Tier Pediatrics Practice, P.C.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Southern Tier Pediatrics Practice, P.C. is Adolescent Medicine, and the taxonomy code that classifies this field of practice is 2080A0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1710902200 to Southern Tier Pediatrics Practice, P.C.?
The Southern Tier Pediatrics Practice, P.C. received its 1710902200 assignment from the Centers for Medicare & Medicaid Services on 2006-07-13.
As of what date were the Southern Tier Pediatrics Practice, P.C.'s details last updated?
The information pertaining to the Southern Tier Pediatrics Practice, P.C., including its address, specialty, and other details, was most recently updated on 2013-05-15.