Basic Information
Provider Information
NPI: 1902972672
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HUFFNER
FirstName: WILLIAM
MiddleName: E
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 722 W WATER ST
Address2:  
City: ELMIRA
State: NY
PostalCode: 149052435
CountryCode: US
TelephoneNumber: 6072712050
FaxNumber: 6072712099
Practice Location
Address1: 600 ROE AVE
Address2:  
City: ELMIRA
State: NY
PostalCode: 149051629
CountryCode: US
TelephoneNumber: 6077374490
FaxNumber: 6077378168
Other Information
ProviderEnumerationDate: 11/27/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X160348NYY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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