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Organization
PUTNAM FAMILY AND COMMUNITY SERVICES INC
Active
Organization
PUTNAM FAMILY AND COMMUNITY SERVICES INC
Active
Other names
CoveCare Center
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE E RUSSO (CHIEF EXECUTIVE OFFICER/ DIRECTOR)
(845) 225-2700
Entity
Organization
Contact information
Practice address
1808 ROUTE 6, CARMEL, NY 10512
(845) 225-2700
(845) 225-3207
Mailing address
1808 ROUTE 6, CARMEL, NY 10512
(845) 225-2700
(845) 225-3207
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9041100A
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01755715
—
NY
05
—
02073283
—
NY
05
—
02995857
—
NY
01
—
3189418
GHI GROUP NUMBER
NY
01
—
A2191995
OXFORD GROUP NUMBER
NY
01
—
WIL271
EMPIRE HEALTH SERVICES GR
NY
Enumeration date
11/17/2005
Last updated
10/06/2017
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