| Southern Tier Pain Management | |
| 
					200 Front Street Suite C Vestal NY 13850  | |
| (607) 754-2313 | |
| (607) 754-6926 | 
| Full Name | Southern Tier Pain Management | 
|---|---|
| Speciality | Community/behavioral Health | 
| Location | 200 Front Street, Vestal, New York | 
| Authorized Official Name and Position | Marilyn Ippolito Geller (PROGRAM DIRECTOR) | 
| Authorized Official Contact | 6077542313 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Southern Tier Pain Management 200 Front Street Suite C Vestal NY 13850 Ph: (607) 754-2313  | Southern Tier Pain Management 200 Front Street Suite C Vestal NY 13850 Ph: (607) 754-2313  | 
| NPI Number | 1134289697 | 
|---|---|
| Provider Enumeration Date | 12/12/2006 | 
| Last Update Date | 03/01/2017 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1134289697 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary | 
Southern Tier Psychiatry Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1500 Vestal Pkwy E Ste 102, Vestal, NY 13850 Phone: 315-403-4271  | |
Suite E, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3209 Vestal Pkwy, Suite E, Vestal, NY 13850 Phone: 607-729-3003 Fax: 607-729-3004  | |
Chelene Sirianni Psychotherapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 445 S Jensen Rd, Vestal, NY 13850 Phone: 607-238-7928  | |
Mindful Psychiatry, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Main St, Vestal, NY 13850 Phone: 607-205-3237 Fax: 607-258-9183  | |
Greater Binghamton Lcsw,pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 920 Cherry Ln, Vestal, NY 13850 Phone: 607-201-2067  | |
Suresh Undavia, Md Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 Clayton Ave, Vestal, NY 13850 Phone: 607-785-4277 Fax: 607-785-3617  |