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Organization

ORTHOPEDIC ASSOCIATES OF 65 PENNA AVENUE, PC

Active
Other names
Orthopedic Associates
Organization subpart
No

Provider details

NPI number
Authorized official
CAROLYN L SCHUSTER (PRACTICE ADMINISTRATOR)
(607) 723-5393
Entity
Organization

Contact information

Practice address
65 PENNSYLVANIA AVENUE, BINGHAMTON, NY 13903-9999
(607) 723-5393
(607) 771-0803
Mailing address
65 PENNSYLVANIA AVENUE, BINGHAMTON, NY 13903-9999
(607) 723-5393
(607) 771-0803

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
207X00000X
Orthopaedic Surgery Physician
Primary
2086S0105X
Surgery of the Hand (Surgery) Physician
208VP0014X
Interventional Pain Medicine Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00979680
NY
Enumeration date
08/16/2006
Last updated
10/21/2014
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