Southern Tier Pedothic Center Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

SOUTHERN TIER PEDOTHIC CENTER INC.

Practice address

112 Nanticoke Ave
Endicott, NY 13760-4878

Phone

(607) 754-8618

Fax

(607) 754-8618

NPI assigned

Mar 29, 2007

Organization subpart

No

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

Authorized official

Name

William Donald Smith

Title

Pedothist

Phone

(607) 754-8618

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1669592291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 NANTICOKE AVE",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137604878",
            "telephone_number": "607-754-8618",
            "fax_number": "607-754-8618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 NANTICOKE AVE",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137604878",
            "telephone_number": "607-754-8618",
            "fax_number": "607-754-8618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN TIER PEDOTHIC CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "PEDOTHIST",
        "authorized_official_telephone_number": "607-754-8618"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Smith
• Jennifer Smith
• Sara M Smith, NP
• Jeremiah Sorenson
• Nicole Soule, LPN
• Southerntier Mental Health Counseling, PLLC
• Marcus Herman Spera, DDS
• Deborah Stone, NURSE PRACTITIONER
• Elizabeth A Strong, LCSW-R
• Kristin Strong, MS ED

• Customized Equipment (DME) in Endicott, NY
• Providers in Endicott, NY by specialty
• Customized Equipment (DME) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.