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Contact Information

SOUTHERN TIER DERMATOLOGY & AESTHETICS
333 HOOPER RD.
ENDWELL, NY13760
 Phone: 607-729-2776
 Fax: 607-729-2773
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for SOUTHERN TIER DERMATOLOGY & AESTHETICS

NPI # 1275589558
LBN Legal business name SOUTHERN TIER DERMATOLOGY & AESTHETICS
Authorized official NANCY LEFTENANT - (MAR.)
Entity Organization
Organization subpart 1 No
Enumeration date 05/26/2006
Last updated 02/26/2016 - About 10 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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