Organization
SOUTHERN TIER PRIORITY HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REEDA IRENE CLARK (EXECUTIVE DIRECTOR)
(607) 795-5215
Entity
Organization
Contact information
Practice address
130 LATTABROOK RD, HORSEHEADS, NY 14845-8501
(607) 795-5215
(607) 795-5219
Mailing address
130 LATTABROOK RD, HORSEHEADS, NY 14845-8501
(607) 795-5215
(607) 795-5219
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01381319
—
NY
Enumeration date
04/04/2012
Last updated
04/04/2012
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