Healthcare Provider Details

I. General information

NPI: 1548327596
Provider Name (Legal Business Name): COUNTY OF WASHINGTON NEW YORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2007
Last Update Date: 12/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 LOWER MAIN ST
HUDSON FALLS NY
12839-2661
US

IV. Provider business mailing address

415 LOWER MAIN ST
HUDSON FALLS NY
12839-2661
US

V. Phone/Fax

Practice location:
  • Phone: 518-746-2400
  • Fax: 518-746-2410
Mailing address:
  • Phone: 518-746-2400
  • Fax: 518-746-2410

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number5726600
License Number StateNY

VIII. Authorized Official

Name: MRS. PATRICIA L HARRISON
Title or Position: PUBLIC HEALTH DIRECTOR
Credential: BSN, MPS
Phone: 518-746-2400