Healthcare Provider Details

I. General information

NPI: 1760512248
Provider Name (Legal Business Name): DELAWARE COUNTY PUBLIC HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 07/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 MAIN ST
DELHI NY
13753-1221
US

IV. Provider business mailing address

99 MAIN ST
DELHI NY
13753-1221
US

V. Phone/Fax

Practice location:
  • Phone: 607-832-5200
  • Fax: 607-832-6022
Mailing address:
  • Phone: 607-832-5200
  • Fax: 607-832-6022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: AMANDA WALSH
Title or Position: DIRECTOR OF PUBLIC HEALTH/EIO
Credential:
Phone: 607-832-5200