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Individual

ELIZABETH T PAYNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
455 MAPLE ST STE 3, BIG FLATS, NY 14814-9702
(607) 321-0265
(607) 321-0269
Mailing address
33 LEWIS RD, 2ND FL, BINGHAMTON, NY 13905
(607) 770-0025

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
308435
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
308435
NYS LICENSE
NY
Enumeration date
10/03/2017
Last updated
02/22/2021
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