Nys Doccs

NPI 1346633989 - Custodial Care Facility - 311Z00000X

NPI Details
NPI 1346633989
Enumeration Date 03/06/2015
Last Updated 03/06/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name JEFFREY JEFFREY
Position DEPUTY SUPT OF ADMINISTRATION
Phone (518) 639-5516
Fax
Practice Location
11739 STATE ROUTE 22
GREAT MEADOW CORRECTIONAL FACILITY
COMSTOCK NY, 12821-0051, US
Phone (518) 639-5516
Fax
Business Location
PO BOX 51
11739 STATE ROUTE 22
COMSTOCK NY, 12821-0051, US
Phone (518) 639-5516
Fax
Toxanomy
Taxonomy Code 311Z00000X
License State New York
License Number 000650-1
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According to our database, Nys Doccs NPI is 1346633989, taxonomy code is 311Z00000X and license number is 000650-1, license state is located at New York. Nys Doccs physically located at 11739 State Route 22, Comstock NY, 12821-0051. NPI Number 1033115704 has the healthcare provider type.

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1346633989 NPI number is provided on an as is basis without warranty of any kind. 1346633989 is maintained by the National Plan & Provider Enumeration System. The contents of Nys Doccs are for informational purposes only.