Healthcare Provider Details

I. General information

NPI: 1396797536
Provider Name (Legal Business Name): CLINTON COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 10/25/2024
Certification Date: 10/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

133 MARGARET STREET
PLATTSBURGH NY
12901
US

IV. Provider business mailing address

133 MARGARET ST FL 3
PLATTSBURGH NY
12901-2926
US

V. Phone/Fax

Practice location:
  • Phone: 518-565-4840
  • Fax: 518-565-4717
Mailing address:
  • Phone: 518-565-4840
  • Fax: 518-565-4717

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: MARIA CADIEUX
Title or Position: HEALTH FACILITY COMPTROLLER
Credential:
Phone: 518-565-3284