# SOUTHERN TIER ASSOCIATES IN PODIATRIC MEDICINE & SURGERY PLLC

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

## Provider details

- **NPI number:** 1639105018
- **Authorized official:** JOSEPH T HOGAN DPM (PODIATRIST PARTNER)
- **Authorized official phone:** (607) 723-7454

## Contact information

- **Practice address:** 161 RIVERSIDE DR, SUITE M08, BINGHAMTON, NY 13905-4176
- **Practice address phone:** (607) 723-7454
- **Mailing address:** 161 RIVERSIDE DR, SUITE M08, BINGHAMTON, NY 13905-4176
- **Mailing address phone:** (607) 723-7454

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 0024301 | NY | Yes |

## Other

- **Enumeration date:** 06/25/2006
- **Last updated:** 09/11/2015
