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Organization

UPSTATE UNIVERSITY CLINICAL CAMPUS MEDICAL GROUP AT BINGHAMTON, INC.

Active
Other names
Clinical Campus Medical Services Group
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LENORE LYNN BORIS JD, PHD (PRACTICE PLAN MANAGER)
(607) 772-3516
Entity
Organization

Contact information

Practice address
46 HARRISON ST, JOHNSON CITY, NY 13790-2120
(607) 729-6531
(607) 217-0110
Mailing address
425 ROBINSON ST, BINGHAMTON, NY 13904-1735
(607) 772-3516
(607) 772-3536

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary

Other

Enumeration date
08/18/2016
Last updated
08/18/2016
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