Southern Tier Pedothic Center Inc. in Endicott - Customized Equipment
Southern Tier Pedothic Center Inc. - NPI 1669592291
Southern Tier Pedothic Center Inc. is a Customized Equipment in Endicott, New York. Southern Tier Pedothic Center Inc. practices all healthcare services and medical treatments related to Customized Equipment. The NPI Number for Southern Tier Pedothic Center Inc. is 1669592291. The last update date is 2008-08-05.
Southern Tier Pedothic Center Inc.'s current location address is 112 Nanticoke Ave, Endicott, New York. You can contact this provider via phone number 6077548618 and fax number 6077548618. The mailing address for Southern Tier Pedothic Center Inc. is 112 Nanticoke Ave, Endicott, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southern Tier Pedothic Center Inc. |
|---|---|
| Address | 112 Nanticoke Ave, Endicott, New York |
| Phone Number | 6077548618 |
| Fax Number | 6077548618 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PEDOTHIST |
|---|---|
| Authorized Official Name | Smith Donald William |
| Telephone Number | 6077548618 |
NPI Number Detail
| NPI Number | 1669592291 |
|---|---|
| Provider Enumeration Date | 2007-03-29 |
| Last Updated Date | 2008-08-05 |
Provider Mailing Address Detail
| Address | 112 Nanticoke Ave |
|---|---|
| City | Endicott |
| State | New York (NY) |
| Post Code | 137604878 |
| Phone Number | 6077548618 |
| Fax Number | 6077548618 |
Provider's Primary Taxonomy Detail
| Speciality | Customized Equipment |
|---|---|
| Taxonomy | 332Bc3200X |
|
Definition: Custom-made durable medical equipment prescribed by a provider to meet a patient’s unique needs. |
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What is the Southern Tier Pedothic Center Inc.'s unique identification number?
The Southern Tier Pedothic Center Inc. has been assigned the NPI (National Provider Identifier) Number 1669592291 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Southern Tier Pedothic Center Inc. is geographically located?
The Southern Tier Pedothic Center Inc. is physically situated at the following location: 112 Nanticoke Ave, Endicott, NY, 137604878.
What is the area of specialization for Southern Tier Pedothic Center Inc., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Southern Tier Pedothic Center Inc. is Customized Equipment, and the corresponding taxonomy code that categorizes this area of expertise is 332Bc3200X.
When was the Southern Tier Pedothic Center Inc.'s 1669592291 issued?
The Southern Tier Pedothic Center Inc.'s 1669592291 was issued on 2007-03-29.
As of what date were the details pertaining to Southern Tier Pedothic Center Inc. last refreshed?
The information related to the Southern Tier Pedothic Center Inc., including its address, specialty, and other relevant details, was last updated on 2008-08-05.
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