# GASTROENTEROLOGY ASSOCIATES OF THE SOUTHERN TIER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134226491
- **Authorized official:** DR. BRUNO ROBERT MAZZA MD (PHYSICIAN)
- **Authorized official phone:** (607) 734-7121

## Contact information

- **Practice address:** 378 W CHURCH ST, ELMIRA, NY 14901-2621
- **Practice address phone:** (607) 734-7121
- **Practice address fax:** (607) 734-0614
- **Mailing address:** 378 W CHURCH ST, ELMIRA, NY 14901-2621
- **Mailing address phone:** (607) 734-7121
- **Mailing address fax:** (607) 734-0614

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 04/10/2008