Southern Tier Women'S Health Services LLC
Obstetrics & Gynecology, Gynecology in Vestal, NY. Organization (NPI-2).
NPI number1629634985
StatusActive
Last updated in NPPESMay 13, 2019
Details
- NPI
- 1629634985
- Entity type
- Organization (NPI-2)
- Legal business name
- Southern Tier Women'S Health Services LLC
- Organization subpart
- No
- Enumeration date
- May 13, 2019
- Last updated
- May 13, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VG0400X | Obstetrics & Gynecology, Gynecology | – | – | Yes |
Practice location
149 Vestal Parkway WestVestal, NY 13850
Phone 607-785-4171 · Fax 607-785-3915
Mailing address
Po Box 642149 Vestal Parkway West
Vestal, NY 13851-0642
Phone 607-785-4171 · Fax 607-785-3915
Authorized official
Amy R. Cousins
Medical Director
6077854171
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Other Gynecology Physician providers in Vestal, NY
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- Amy Rebecca Cousins, MDNPI 1730272220
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- Helene Claire Longacre, MDNPI 1972544237
- Nancy E Shumeyko, MDNPI 1518955673
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