Southern Tier Podiatry Pllc

NPI #1831439660 in Vestal, New York

Provider Information

NPI Number: 1831439660
Entity Type: Organization
Organization Name: Southern Tier Podiatry Pllc
Primary Specialty: Podiatrist
Enumeration Date: Feb 14, 2013
Last Updated: Jul 2, 2013

Practice Location

Address: 4104 OLD VESTAL RD
Address 2: SUITE 104
City: Vestal
State: New York
ZIP Code: 13850-3500
Phone: (607) 217-5668

Authorized Official

Name: DR. MARILYN S BOYUKA, D.P.M
Title: OWNER
Phone: (607) 217-5668

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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