Organization
SOUTHERN TIER OBSTETRICS & GYNECOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK K KWAKYE BERKO MD (MD)
(716) 372-2770
Entity
Organization
Contact information
Practice address
242 N UNION ST, OLEAN, NY 14760
(716) 372-2770
(716) 372-2740
Mailing address
PO BOX 564, OLEAN, NY 14760
(716) 372-2770
(716) 372-2740
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2172551
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02107880
—
NY
Enumeration date
11/21/2006
Last updated
08/22/2020
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