Provider Demographics
NPI:1316137532
Name:TIER PEDIATRICS
Entity type:Organization
Organization Name:TIER PEDIATRICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NASIM
Authorized Official - Middle Name:
Authorized Official - Last Name:BATTLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-777-9475
Mailing Address - Street 1:256 HARRY L DR
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:NY
Mailing Address - Zip Code:13790-1423
Mailing Address - Country:US
Mailing Address - Phone:607-777-9475
Mailing Address - Fax:607-797-3131
Practice Address - Street 1:256 HARRY L DR
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:NY
Practice Address - Zip Code:13790-1423
Practice Address - Country:US
Practice Address - Phone:607-777-9475
Practice Address - Fax:607-797-3131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-25
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty