Healthcare Provider Details

I. General information

NPI: 1497752158
Provider Name (Legal Business Name): SARATOGA COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 04/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 WOODLAWN AVE SUITE 1
SARATOGA SPRINGS NY
12866-2198
US

IV. Provider business mailing address

31 WOODLAWN AVE SUITE 1
SARATOGA SPRINGS NY
12866-2198
US

V. Phone/Fax

Practice location:
  • Phone: 518-584-7460
  • Fax: 518-583-1202
Mailing address:
  • Phone: 518-584-7460
  • Fax: 518-583-1202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number4501600
License Number StateNY

VIII. Authorized Official

Name: MS. CATHERINE DUNCAN
Title or Position: DIRECTOR OF PUBLIC HEALTH
Credential: BSN, RN
Phone: 518-584-7460