Organization
SOUTHERN TIER MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILLY CARSTENS DO (OWNER)
(585) 593-7246
Entity
Organization
Contact information
Practice address
243 MAPLE AVE, WELLSVILLE, NY 14895-1114
(585) 593-7246
Mailing address
243 MAPLE AVE, WELLSVILLE, NY 14895-1114
(585) 593-7246
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
212342-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0600212342
—
NY
Enumeration date
01/17/2014
Last updated
03/17/2018
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