Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southern Tier Pedothic Center Inc

Organization Customized Equipment (DME) · NPI 1669592291

Southern Tier Pedothic Center Inc provides Customized Equipment (DME) in Endicott, New York. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

112 Nanticoke Ave
Endicott, NY 13760-4878 Not confirmed with CMS for 18 years — call before visiting
Phone: (607) 754-8618
Fax: (607) 754-8618
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Customized Equipment (DME) (primary) Taxonomy 332BC3200X

Record details

NPI number1669592291
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Smith — Pedothist · (607) 754-8618
NPI enumeratedMarch 29, 2007
Last updated in NPPESAugust 5, 2008
Mailing address112 Nanticoke Ave, Endicott, NY 13760-4878

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