# SOUTHERN TIER MEDICAL PLLC

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

## Provider details

- **NPI number:** 1174945687
- **Authorized official:** BILLY CARSTENS DO (OWNER)
- **Authorized official phone:** (585) 593-7246

## Contact information

- **Practice address:** 243 MAPLE AVE, WELLSVILLE, NY 14895-1114
- **Practice address phone:** (585) 593-7246
- **Mailing address:** 243 MAPLE AVE, WELLSVILLE, NY 14895-1114
- **Mailing address phone:** (585) 593-7246

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 212342-1 | NY | Yes |

## Other

- **Enumeration date:** 01/17/2014
- **Last updated:** 03/17/2018