Southern Tier Pediatrics Practice, PC

Organization Pediatric Adolescent Medicine Physician · NPI 1710902200

Southern Tier Pediatrics Practice, PC is a Pediatric Adolescent Medicine Physician in Jamestown, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in: NY
In the registry since: 2006

What do these letters mean?

PC — Professional corporation: A form of business registration, not a clinical qualification.

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Practice location Address checks out

1684 Foote Avenue Ext
Jamestown, NY 14701-9385
Phone: (716) 661-9730
Fax: (716) 661-9732

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary)	Taxonomy 2080A0000X · Licence 207469 (NY)

Record details

NPI number	1710902200
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Tariq Khan — President · (716) 661-9730
NPI enumerated	July 13, 2006
Last updated in NPPES	May 15, 2013
Mailing address	1684 Foote Avenue Ext, Jamestown, NY 14701-9385