Organization
ECONOMIC OPPORTUNITY PROGRAM
Active
Other names
Next Step
Organization subpart
No
Provider details
NPI number
Authorized official
MARYANN BRYANT (FAMILY DEVELOPMENT DEPUTY DIRECTOR)
(607) 734-6174
Entity
Organization
Contact information
Practice address
650 BALDWIN ST, ELMIRA, NY 14901-2216
(607) 734-6174
Mailing address
650 BALDWIN ST, ELMIRA, NY 14901-2216
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01047649
—
NY
Enumeration date
05/25/2007
Last updated
08/22/2020
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