Southern Tier AIDS Program, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

SOUTHERN TIER AIDS PROGRAM, INC.

Practice address

122 Baldwin St
Johnson City, NY 13790-2148

Phone

(607) 798-1706

Fax

(607) 798-1977

NPI assigned

Mar 12, 2007

Organization subpart

No

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

Authorized official

Name

Julie L Kerr

Title

Director of Finance

Phone

(607) 798-1706

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922130335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 BALDWIN ST",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902148",
            "telephone_number": "607-798-1706",
            "fax_number": "607-798-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 BALDWIN ST",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902148",
            "telephone_number": "607-798-1706",
            "fax_number": "607-798-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN TIER AIDS PROGRAM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KERR",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "607-798-1706"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01681130",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrisha Ruetna Solomon, OTR
• James C Song, MD
• Thomas William Sorber
• Southern New York Neurosurgical Group PC
• Southern New York Physical Therapy & Chiropractic, PLLC
• Southern Tier Chiropractic PLLC
• Southern Tier Family Nurse Practitioner Services
• Southern Tier Physical Therapy of Johnson City
• Southern Tier Pulmonary & Critical Care Medicine LLC
• Southern Tier Special Needs Resources LLC

• Case Management Agency in Johnson City, NY
• Providers in Johnson City, NY by specialty
• Case Management Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.