Organization
LOURDES HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUNGMIN YOO DPM (PODIATRIC SURGEON)
(607) 799-0115
Entity
Organization
Contact information
Practice address
169 RIVERSIDE DR, BINGHAMTON, NY 13905-4246
(607) 799-0115
Mailing address
169 RIVERSIDE DRIVE, BINGHAMTON, NY 13905-1443
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
R93320
NY
Other
Enumeration date
07/09/2014
Last updated
02/03/2015
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