MEDICARE: HERKIMER COUNTY

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
1	251E00000X	Home Health Agency	2124600	NY

Other Identifiers

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

General Provider Information

NPI Number	:	1487653853
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HERKIMER COUNTY

Provider Business Mailing Address
First Line	:	301 N WASHINGTON ST
Second Line	:	SUITE 2300
City	:	HERKIMER
State	:	NY
Zip	:	13350-1299
Country	:	US
Telephone Number	:	315-867-1176
Fax Number	:	315-867-1262

Provider Business Practice Location Address
First Line	:	301 N WASHINGTON ST
Second Line	:	SUITE 2300
City	:	HERKIMER
State	:	NY
Zip	:	13350-1299
Country	:	US
Telephone Number	:	315-867-1176
Fax Number	:	315-867-1262

Authorized Official
Title or Position	:	DIRECTOR OF PUBLIC HEALTH
Name	:	GREGORY O'KEEFE
Credential	:
Telephone Number	:	315-867-1176

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	07/13/2012

Similar Medicare Providers

1720174436 — HERKIMER COUNTY
Practice Location Address:

301 N WASHINGTON ST STE 2470
HERKIMER, NY
13350-1299

Practice Phone: 315-867-1465
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1598897381 — EDGAR ROGERS SCUDDER LCSW
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301 N WASHINGTON ST STE 2470
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1851416762 — PATTI A CIRILLO RN,NP
Practice Location Address:

301 N WASHINGTON ST STE 2470
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Practice Phone: 315-867-1465
Practice Fax:

1003221326 — DIANE YACIUK RN, BSN
Practice Location Address:

301 N WASHINGTON ST STE 2300
HERKIMER, NY
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1457845364 — MS. KELLY J SITTERLY LCSW
Practice Location Address:

301 N WASHINGTON ST STE 2470
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1720938269 — ISABELLA ROSE BAILEY
Practice Location Address:

352 GROS BLVD
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Practice Fax:

Directions to “HERKIMER COUNTY ” Practice Location

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