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NPI Code Detail

MEDICARE: CITIZEN ADVOCATES, INC

MEDICARE: CITIZEN ADVOCATES, INC
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
1320800000XMental Illness Community Based Residential Treatment Facility7533430NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1477765733
Entity Type Code : Organization
Provider Name (Legal Business Name) : CITIZEN ADVOCATES, INC
Provider Business Mailing Address
First Line : PO BOX 608
Second Line :
City : MALONE
State : NY
Zip : 12953-0608
Country : US
Telephone Number : 518-483-1251
Fax Number : 518-483-2242
Provider Business Practice Location Address
First Line : 31 6TH ST
Second Line :
City : MALONE
State : NY
Zip : 12953-1246
Country : US
Telephone Number : 518-483-1251
Fax Number : 518-483-2242
Authorized Official
Title or Position : CREDENTIALING MANAGER
Name : HEATHER MARIE BARNEY
Credential :
Telephone Number : 518-651-2302
Provider Enumeration Date : 05/07/2007
Last Update Date : 08/09/2022

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1699078782 — MS. KATHLEEN H SCOTT RN, NPP
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Directions to “CITIZEN ADVOCATES, INC ” Practice Location

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