Organization
SOUTHERN TIER DERMATOLOGY & AESTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY LEFTENANT (MAR.)
(607) 729-2777
Entity
Organization
Contact information
Practice address
333 HOOPER RD., ENDWELL, NY 13760
(607) 729-2776
(607) 729-2773
Mailing address
333 HOOPER RD, ENDWELL, NY 13760
(607) 729-2776
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
05/26/2006
Last updated
02/26/2016
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