Organization
SOUTHERN TIER PAIN MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARILYN IPPOLITO GELLER PHD (PROGRAM DIRECTOR)
(607) 754-2313
Entity
Organization
Contact information
Practice address
200 FRONT STREET, SUITE C, VESTAL, NY 13850
(607) 754-2313
(607) 754-6926
Mailing address
200 FRONT STREET, SUITE C, VESTAL, NY 13850
(607) 754-2313
(607) 754-6926
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/12/2006
Last updated
03/01/2017
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