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Organization
SOUTHERN TIER ONCOLOGY LLC
Active
Organization
SOUTHERN TIER ONCOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRADEEP SHARDA MD (DIRECTOR)
(607) 324-0061
Entity
Organization
Contact information
Practice address
21 ORCHARD ST, HORNELL, NY 14843-2111
(607) 324-0061
(607) 324-7547
Mailing address
21 ORCHARD ST, HORNELL, NY 14843-2111
(607) 324-0061
(607) 324-7547
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
203350
NY
174400000X
Specialist
203720
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01678477
—
NY
05
—
01732576
—
NY
Enumeration date
12/05/2006
Last updated
03/21/2008
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