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Southern Tier Priority Healthcare

Case Management in Horseheads, NY. Organization (NPI-2).

NPI number1265798169
StatusActive
Last updated in NPPESApr 4, 2012

Details

NPI
1265798169
Entity type
Organization (NPI-2)
Legal business name
Southern Tier Priority Healthcare
Organization subpart
No
Enumeration date
Apr 4, 2012
Last updated
Apr 4, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251B00000X Case Management––Yes

Practice location

130 Lattabrook Rd
Horseheads, NY 14845-8501

Phone 607-795-5215 · Fax 607-795-5219

Mailing address

130 Lattabrook Rd
Horseheads, NY 14845-8501

Phone 607-795-5215 · Fax 607-795-5219

Authorized official

Reeda Irene Clark
Executive Director
6077955215

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