Organization
HERKIMER COUNTY CHAPTER NYSARC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN CROSLEY (EXECUTIVE DIRECTOR)
(315) 866-2920
Entity
Organization
Contact information
Practice address
350 S WASHINGTON ST, HERKIMER, NY 13350-2426
(315) 866-2920
(315) 866-8339
Mailing address
350 S WASHINGTON ST, HERKIMER, NY 13350-2426
(315) 866-2920
(315) 866-8339
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00657621
—
NY
Enumeration date
02/27/2007
Last updated
08/22/2020
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