Organization
SAINT REGIS MOHAWK TRIBE
Active
Parent organization
SAINT REGIS MOHAWK TRIBE
Other names
Saint Regis Mohawk Tribe diabetes Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAINT REGIS MOHAWK TRIBE
Authorized official
TSIORASA BARREIRO (EXECUTIVE DIRECTOR)
(518) 358-2272
Entity
Organization
Contact information
Practice address
404 STATE ROUTE 37, HOGANSBURG, NY 13655
(518) 358-3141
(518) 358-9175
Mailing address
404 STATE ROUTE 37, HOGANSBURG, NY 13655
(518) 358-3141
(518) 358-9175
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
05/19/2020
Last updated
05/19/2020
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