Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southern Tier Surgical PLLC

Organization Surgery Physician · NPI 1316296205

Southern Tier Surgical PLLC is a Surgery Physician in Johnson City, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

30 Harrison St Ste 320
Johnson City, NY 13790-2162
Phone: (607) 763-8205
Fax: (607) 763-8208
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 178438 (NY)

Record details

NPI number1316296205
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christian Tvetenstrand — Surgeon · (607) 763-8205
NPI enumeratedSeptember 6, 2012
Last updated in NPPESFebruary 11, 2013
Mailing address30 Harrison Street, Suite 320, Johnson City, NY 13790-2162

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