Clinical Campus Medical Group

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CLINICAL CAMPUS MEDICAL GROUP

Practice address

425 Robinson St
Binghamton, NY 13904-1735

Phone

(607) 772-3535

Fax

(607) 772-3536

NPI assigned

Sep 26, 2011

Last updated

Oct 4, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Lenore L Boris, JD, MS

Title

Associate Dean

Phone

(607) 772-3535

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1164705224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 ROBINSON ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139041735",
            "telephone_number": "607-772-3535",
            "fax_number": "607-772-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 ROBINSON ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139041735",
            "telephone_number": "607-772-3535",
            "fax_number": "607-772-3536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL CAMPUS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-26",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "BORIS",
        "authorized_official_first_name": "LENORE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ASSOCIATE DEAN",
        "authorized_official_telephone_number": "607-772-3535",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "JD, MS"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Ann Clark, LMT
• Takisha Clark
• Maelynn Clarke, LCSW
• Justin Cleveland
• Kati Jo Cline, CASACII, BA
• Clintwood Apothecary LLC
• Clintwood Apothecary, LLC.
• Clintwood Pharmacy LLC
• Colleen Clune, RN
• Lori Lynn Cobb, MHC-LP

• Specialist in Binghamton, NY
• Providers in Binghamton, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.