Organization
SOUTHERN TIER WOMEN'S HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY R. COUSINS M.D. (MEDICAL DIRECTOR)
(607) 785-4171
Entity
Organization
Contact information
Practice address
149 VESTAL PARKWAY WEST, VESTAL, NY 13850
(607) 785-4171
(607) 785-3915
Mailing address
PO BOX 642, 149 VESTAL PARKWAY WEST, VESTAL, NY 13851-0642
(607) 785-4171
(607) 785-3915
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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