Individual
DR. JAMES L DISTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
600 ROE AVE, ELMIRA, NY 14905-1629
(607) 737-8157
(607) 271-3664
Mailing address
33-57 HARRISON ST, JOHNSON CITY, NY 13790-2107
(607) 763-6311
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
300155
NY
Other
Enumeration date
04/06/2017
Last updated
08/12/2020
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