Doctor Name: | DR. GEOFFREY P OSTRANDER |
NPI Number: | 1265726004 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MT199471 |
Business Practice Address: | 213 State Route 245 Rushville, NY - 145449603 |
Business Phone Number: | 7175447228 |
Business Fax Number: | 7175444149 |
Mailing Address: | 213 State Route 245, RUSHVILLE |
State: | NY |
Postal Code: | 145449603 |
Phone Number: | 5855543119 |
Fax Number: | 5855543323 |
NPI Enumeration Date: | 06/08/2011 |
NPI Last Update Date: | 12/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | MT199471 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |