Organization
TIER PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NASREEN BATTLA MD (OWNER)
(607) 624-2928
Entity
Organization
Contact information
Practice address
256 HARRY L DR, JOHNSON CITY, NY 13790-1423
(607) 777-9475
Mailing address
256 HARRY L DR, JOHNSON CITY, NY 13790-1423
(607) 777-9475
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01150325
—
NY
Enumeration date
06/24/2021
Last updated
06/24/2021
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