# SAINT REGIS MOHAWK TRIBE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SAINT REGIS MOHAWK TRIBE
- **Other names:** Saint Regis Mohawk Tribe diabetes Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1063035582
- **Legal business name:** SAINT REGIS MOHAWK TRIBE
- **Authorized official:** TSIORASA BARREIRO (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (518) 358-2272

## Contact information

- **Practice address:** 404 STATE ROUTE 37, HOGANSBURG, NY 13655
- **Practice address phone:** (518) 358-3141
- **Practice address fax:** (518) 358-9175
- **Mailing address:** 404 STATE ROUTE 37, HOGANSBURG, NY 13655
- **Mailing address phone:** (518) 358-3141
- **Mailing address fax:** (518) 358-9175

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174H00000X | Health Educator | — | NULL | Yes |
| 174H00000X | Health Educator | — | — | Yes |

## Other

- **Enumeration date:** 05/19/2020
- **Last updated:** 05/19/2020