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Organization
SOUTHERN TIER MEDICAL CARE - NY PC
Active
Organization
SOUTHERN TIER MEDICAL CARE - NY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAGRAJ RAI MD (PRESIDENT)
(607) 798-5742
Entity
Organization
Contact information
Practice address
169 RIVERSIDE DR, BINGHAMTON, NY 13905-4246
(607) 798-5742
Mailing address
169 RIVERSIDE DR, BINGHAMTON, NY 13905-4246
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/29/2017
Last updated
08/29/2017
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