Organization
TIER ENT ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY M KING M.D. (PRESIDENT/PHYCICIAN)
(607) 770-9050
Entity
Organization
Contact information
Practice address
15 RIVERSIDE DR, JOHNSON CITY, NY 13790-2742
(607) 770-9050
(607) 770-9091
Mailing address
15 RIVERSIDE DR, JOHNSON CITY, NY 13790-2742
(607) 770-9050
(607) 770-9091
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
193960-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00608737
—
NY
Enumeration date
09/20/2006
Last updated
02/28/2014
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