Healthcare Provider Details

I. General information

NPI: 1093844706
Provider Name (Legal Business Name): PUTNAM COUNTY DEPARTMENT OF HEALTH, EARLY INTERVENTION PROGRAM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 01/06/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 GENEVA RD PUTNAM COUNTY DOH, EARLY INTERVENTION DEPT.
BREWSTER NY
10509-2339
US

IV. Provider business mailing address

VALERIE KURTZ 1 GENEVA ROAD
BREWSTER NY
10509-2339
US

V. Phone/Fax

Practice location:
  • Phone: 845-808-1640
  • Fax: 845-808-4092
Mailing address:
  • Phone: 845-808-1640
  • Fax: 845-808-4092

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number StateNY

VIII. Authorized Official

Name: VALERIE KURTZ
Title or Position: SUPERVISOR OF EARLY INTERVENTION AN
Credential:
Phone: 845-808-1640