Organization
ORAL MAXILLOFACIAL SURGERY OF THE SOUTHERN TIER, PC
Active
Organization
ORAL MAXILLOFACIAL SURGERY OF THE SOUTHERN TIER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW B BROWN MD DDS (SURGEON SECRETARY TREASURER)
(607) 733-3760
Entity
Organization
Contact information
Practice address
451 W CHURCH ST, ELMIRA, NY 14901-2636
(607) 733-3760
(607) 734-6000
Mailing address
451 W CHURCH ST, ELMIRA, NY 14901-2636
(607) 733-3760
(607) 734-6000
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780674796
NPI DANIEL H. FARR
NY
01
—
1851381867
NPI MATTHEW B. BROWN
NY
01
—
1942299094
NPI WILLIAM F. POCHAL
NY
Enumeration date
12/19/2006
Last updated
11/08/2016
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