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Organization
SOUTHERN TIER PSYCHIATRY PLLC
Active
Organization
SOUTHERN TIER PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIRAL GORADIA MD (PSYCHIATRIST)
(315) 403-4271
Entity
Organization
Contact information
Practice address
1500 VESTAL PKWY E STE 102, VESTAL, NY 13850-1831
(315) 403-4271
Mailing address
3439, VESTAL PARKWAY E, STE 2, NUM 197, VESTAL, NY 13850
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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