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NPI Code Detail

MEDICARE: CAYUGA COUNTY

MEDICARE: CAYUGA COUNTY
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
1261QM1300XMulti-Specialty Clinic/Center7240100ANY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699708123
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAYUGA COUNTY
Provider Business Mailing Address
First Line : 146 NORTH ST
Second Line :
City : AUBURN
State : NY
Zip : 13021-1831
Country : US
Telephone Number : 315-253-0341
Fax Number : 315-253-1687
Provider Business Practice Location Address
First Line : 146 NORTH ST
Second Line :
City : AUBURN
State : NY
Zip : 13021-1831
Country : US
Telephone Number : 315-253-0341
Fax Number : 315-253-1687
Authorized Official
Title or Position : EXECUTIVE DIRECTOR TO THE CSB
Name : MR. RAYMOND BIZZARI
Credential :
Telephone Number : 315-253-0341
Provider Enumeration Date : 07/08/2006
Last Update Date : 01/19/2012

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Directions to “CAYUGA COUNTY ” Practice Location

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