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Organization

SOUTHERN TIER PEDOTHIC CENTER INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM DONALD SMITH (PEDOTHIST)
(607) 754-8618
Entity
Organization

Contact information

Practice address
112 NANTICOKE AVE, ENDICOTT, NY 13760-4878
(607) 754-8618
(607) 754-8618
Mailing address
112 NANTICOKE AVE, ENDICOTT, NY 13760-4878
(607) 754-8618
(607) 754-8618

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary

Other

Enumeration date
03/29/2007
Last updated
08/05/2008
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