Organization
NYSARC INC.
Active
Other names
Wayne County Chapter
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID CALHOUN (EXECUTIVE DIRECTOR)
(315) 331-7741
Entity
Organization
Contact information
Practice address
150 VAN BUREN ST, NEWARK, NY 14513-1238
(315) 331-7741
Mailing address
150 VAN BUREN ST, NEWARK, NY 14513-1238
(315) 331-7741
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
60530473
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02870395
—
NY
Enumeration date
06/13/2007
Last updated
12/11/2007
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