Provider Demographics
NPI:1740731876
Name:PIPER, BETH ANNE (MD)
Entity type:Individual
Prefix:
First Name:BETH ANNE
Middle Name:
Last Name:PIPER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BETH
Other - Middle Name:
Other - Last Name:PIPER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:104 UNION AVE STE 801
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13203-1844
Mailing Address - Country:US
Mailing Address - Phone:315-422-4983
Mailing Address - Fax:315-703-2570
Practice Address - Street 1:104 UNION AVE STE 801
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13203-1844
Practice Address - Country:US
Practice Address - Phone:315-422-4983
Practice Address - Fax:315-703-2570
Is Sole Proprietor?:No
Enumeration Date:2016-10-24
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY187088207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism