Individual
DOUGLAS SIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
179 RIVER ST, ONEONTA, NY 13820-2239
(607) 432-8477
Mailing address
33 LEWIS RD, 2ND FLOOR, BINGHAMTON, NY 13905-1048
(607) 729-8156
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
340769
NY
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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