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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