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Organization
NYS OFFICE OF CHILDREN AND FAMILY SERVICES
Active
Organization
NYS OFFICE OF CHILDREN AND FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DAVID COHEN MD (MEDICAL DIRECTOR)
(518) 474-9560
Entity
Organization
Contact information
Practice address
52 WASHINGTON ST, RM 122 NORTH, RENSSELAER, NY 12144-2834
(518) 474-9560
(518) 486-7099
Mailing address
52 WASHINGTON ST, RM 122 NORTH, RENSSELAER, NY 12144-2834
(518) 474-9560
(518) 486-7099
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/11/2007
Last updated
08/22/2020
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