Organization
PHYSICIAN SERVICES OF THE FINGER LAKES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT SAMTER MD (OWNER)
(607) 733-3639
Entity
Organization
Contact information
Practice address
600 ROE AVENUE, ELMIRA, NY 14905
(607) 737-4100
Mailing address
PO BOX 926, ELMIRA, NY 14901
(607) 733-3639
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
181228
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01182865
—
NY
Enumeration date
10/22/2007
Last updated
10/22/2007
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