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NPI Code Detail

MEDICARE: SCHUYLER COUNTY CHAPTER, NYSARC INC

MEDICARE: SCHUYLER COUNTY CHAPTER, NYSARC INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251V00000XVoluntary or Charitable AgencyNY

General Provider Information

NPI Number : 1063883361
Entity Type Code : Organization
Provider Name (Legal Business Name) : SCHUYLER COUNTY CHAPTER, NYSARC INC
Provider Business Mailing Address
First Line : 203 12TH ST
Second Line :
City : WATKINS GLEN
State : NY
Zip : 14891-1617
Country : US
Telephone Number : 607-535-6934
Fax Number : 607-535-2666
Provider Business Practice Location Address
First Line : 203 12TH ST
Second Line :
City : WATKINS GLEN
State : NY
Zip : 14891-1617
Country : US
Telephone Number : 607-535-6934
Fax Number : 607-535-2666
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : JEANNETTE FRANK
Credential :
Telephone Number : 607-535-6934
Provider Enumeration Date : 10/13/2015
Last Update Date : 10/13/2015

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Directions to “SCHUYLER COUNTY CHAPTER, NYSARC INC ” Practice Location

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