Healthcare Provider Details

I. General information

NPI: 1730251307
Provider Name (Legal Business Name): FULTON COUNTY PUBLIC HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 03/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2714 STATE HIGHWAY 29
JOHNSTOWN NY
12095-4041
US

IV. Provider business mailing address

PO BOX 415 2714 ST HWY 29
JOHNSTOWN NY
12095-0415
US

V. Phone/Fax

Practice location:
  • Phone: 518-736-5720
  • Fax: 518-762-1382
Mailing address:
  • Phone: 518-736-5720
  • Fax: 518-762-1382

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. IRINA GELMAR
Title or Position: DIRECTOR OF PUBLIC HEALTH
Credential: DPM
Phone: 518-736-5720