Citizen Advocate, Inc

NPI 1073725305 - Clinic/Center - 261QD1600X

NPI Details
NPI 1073725305
Enumeration Date 05/07/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GREGORY I GREGORY
Position EXECUTIVE DIRECTOR
Phone (518) 483-1251
Fax (518) 483-2242
Practice Location
209 PARL STREET
MALONE NY, 12953, US
Phone (518) 483-1251
Fax (518) 483-2242
Business Location
PO BOX 608
209 PARK STREET
MALONE NY, 12953-0608, US
Phone (518) 483-1251
Fax (518) 483-2242
Toxanomy
Taxonomy Code 261QD1600X
License State New York
License Number 4041219
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According to our database, Citizen Advocate, Inc NPI is 1073725305, taxonomy code is 261QD1600X and license number is 4041219, license state is located at New York. Citizen Advocate, Inc physically located at 209 Parl Street, Malone NY, 12953. NPI Number 1033115704 has the healthcare provider type.

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1073725305 NPI number is provided on an as is basis without warranty of any kind. 1073725305 is maintained by the National Plan & Provider Enumeration System. The contents of Citizen Advocate, Inc are for informational purposes only.