Healthcare Provider Details

I. General information

NPI: 1427189372
Provider Name (Legal Business Name): COUNTY OF WASHINGTON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2007
Last Update Date: 07/26/2012
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 Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number StateNY

VIII. Authorized Official

Name: MRS. PATRICIA L. HARRISON
Title or Position: DIRECTOR
Credential:
Phone: 518-746-2400