Organization
SOUTHERN TIER PODIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARILYN S BOYUKA D.P.M (OWNER)
(607) 217-5668
Entity
Organization
Contact information
Practice address
4104 OLD VESTAL RD, SUITE 104, VESTAL, NY 13850-3500
(607) 217-5668
(607) 821-0255
Mailing address
4104 OLD VESTAL RD, SUITE 104, VESTAL, NY 13850-3500
(607) 217-5668
(607) 821-0255
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
02/14/2013
Last updated
07/02/2013
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