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Organization
MADISON COUNTY HEALTH DEPTARTMENT
Active
Organization
MADISON COUNTY HEALTH DEPTARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC FAISST (DIRECTOR)
(315) 366-2361
Entity
Organization
Contact information
Practice address
138 NORTH COURT ST, WAMPSVILLE, NY 13163
(315) 366-2361
Mailing address
138 NORTH COURT ST, WAMPSVILLE, NY 13163
(315) 366-2361
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750406161
—
NY
Enumeration date
05/12/2017
Last updated
05/12/2017
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