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NPI Code Detail

MEDICARE: THE WILLIAM GEORGE AGENCY

MEDICARE: THE WILLIAM GEORGE AGENCY
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
1322D00000XEmotionally Disturbed Childrens' Residential Treatment FacilityNY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588714265
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE WILLIAM GEORGE AGENCY
Provider Business Mailing Address
First Line : 380 FREEVILLE RD
Second Line :
City : FREEVILLE
State : NY
Zip : 13068-9684
Country : US
Telephone Number : 607-844-6210
Fax Number : 607-844-4991
Provider Business Practice Location Address
First Line : 380 FREEVILLE RD
Second Line :
City : FREEVILLE
State : NY
Zip : 13068-9684
Country : US
Telephone Number : 607-844-6210
Fax Number : 607-844-4991
Authorized Official
Title or Position : BUSINESS MANAGER
Name : MR. SCOTT ADAMS
Credential :
Telephone Number : 607-844-6210
Provider Enumeration Date : 01/12/2007
Last Update Date : 07/21/2022

Similar Medicare Providers

1821071499 — WILLIAM C SHEPHERD M.D.
Practice Location Address:
380 FREEVILLE RD
FREEVILLE, NY
13068-9684
Practice Phone: 607-844-6336
Practice Fax: 607-844-3077
1447553896 — MRS. ELIZABETH HOWE LCSW
Practice Location Address:
380 FREEVILLE RD
FREEVILLE, NY
13068-9684
Practice Phone: 607-844-6492
Practice Fax: 607-844-3524
1164704003 — DANIELLE SUE CHASE LCSW, CASAC
Practice Location Address:
380 FREEVILLE RD
FREEVILLE, NY
13068-9684
Practice Phone: 607-844-6491
Practice Fax: 607-844-3524
1881949568 — JANICE BAYLOR PHD
Practice Location Address:
380 FREEVILLE RD
FREEVILLE, NY
13068-9684
Practice Phone: 607-844-6415
Practice Fax:
1477961175 — JUSTIN SCOTT HERBEL CASAC
Practice Location Address:
380 FREEVILLE RD
FREEVILLE, NY
13068-9684
Practice Phone: 607-844-6490
Practice Fax:
1922498674 — MS. JENNIFER ANNE LUDWIG R.N.
Practice Location Address:
380 FREEVILLE RD
FREEVILLE, NY
13068-9684
Practice Phone: 607-844-6460
Practice Fax: 607-844-3077

Directions to “THE WILLIAM GEORGE AGENCY ” Practice Location

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