Healthcare Provider Details

I. General information

NPI: 1023199635
Provider Name (Legal Business Name): COUNTY OF ULSTER NY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 11/01/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

239 GOLDEN HILL LN
KINGSTON NY
12401-6441
US

IV. Provider business mailing address

239 GOLDEN HILL LN
KINGSTON NY
12401-6441
US

V. Phone/Fax

Practice location:
  • Phone: 845-340-4000
  • Fax: 845-340-4094
Mailing address:
  • Phone: 845-340-4000
  • Fax: 845-340-4094

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: EDWARD J BROWN
Title or Position: DEPUTY DIRECTOR FOR ADMINISTRATION
Credential: PHD
Phone: 845-340-4173