# SULLIVAN COUNTY PUBLIC HEALTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104972876
- **Authorized official:** MS. JILL HUBERT-SIMON MS (DEPUTY DIRECTOR)
- **Authorized official phone:** (845) 292-5910

## Contact information

- **Practice address:** 50 COMMUNITY LN, LIBERTY, NY 12754-2851
- **Practice address phone:** (845) 292-5910
- **Practice address fax:** (845) 513-2276
- **Mailing address:** 50 COMMUNITY LN, PO BOX 590, LIBERTY, NY 12754-2851
- **Mailing address phone:** (845) 292-5910
- **Mailing address fax:** (845) 513-2276

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/26/2007
- **Last updated:** 07/08/2024