Organization · Type 2 NPI

Southern Tier Surgery Center LLC

Ambulatory Surgical Clinic/Center · Johnson City, NY

NPI number 1386536209 Active

Practice location

400 W Commons Way Ste 100
Johnson City, NY 13790-1883

Fax (607) 314-5051

Specialties and licenses

Taxonomy	Code	License
Ambulatory Surgical Clinic/Center Primary	261QA1903X	None listed

Ambulatory Surgical Clinic/Center: Definition to come...

Other ambulatory surgical clinic/center providers in Johnson City

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NPI record

NPI: 1386536209
Entity type: Organization (Type 2)
Issued: Jul 16, 2025
Last updated: Oct 19, 2026
Status: Active
Subpart: Yes of New York Holdco

Other names

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Guthrie Broome Orthopedic and Spine Surgery Center · doing business as

Authorized official

Kenneth L Rosenquest
Chief Operations Officer
(860) 833-2375

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About NPI 1386536209

Southern Tier Surgery Center LLC's National Provider Identifier is 1386536209, issued on Jul 16, 2025. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Johnson City, NY. The record was last updated on Oct 19, 2026.