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NPI Code Detail

MEDICARE: GREENE COUNTY PUBLIC HEALTH

MEDICARE: GREENE COUNTY PUBLIC HEALTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251300000XLocal Education Agency (LEA)1952600NY

General Provider Information

NPI Number : 1134277122
Entity Type Code : Organization
Provider Name (Legal Business Name) : GREENE COUNTY PUBLIC HEALTH
Provider Business Mailing Address
First Line : 411 MAIN STREET
Second Line : 3RD FLOOR, SUITE 300
City : CATSKILL
State : NY
Zip : 12414-1366
Country : US
Telephone Number : 518-719-3600
Fax Number : 518-719-3779
Provider Business Practice Location Address
First Line : 411 MAIN STREET
Second Line : 3RD FLOOR, SUITE 300
City : CATSKILL
State : NY
Zip : 12414-1366
Country : US
Telephone Number : 518-719-3600
Fax Number : 518-719-3779
Authorized Official
Title or Position : DSCSN
Name : LAUREN CLARK
Credential : BSN
Telephone Number : 518-719-3600
Provider Enumeration Date : 01/08/2007
Last Update Date : 03/02/2015

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Directions to “GREENE COUNTY PUBLIC HEALTH ” Practice Location

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