Organization
MADISON COUNTY DEPARTMENT OF HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC FAISST (PUBLIC HEALTH DIRECTOR)
(315) 366-2501
Entity
Organization
Contact information
Practice address
138 NORTH COURT ST, BLDG #5, WAMPSVILLE, NY 13163-0605
(315) 366-2501
(315) 366-2566
Mailing address
PO BOX 605, WAMPSVILLE, NY 13163-0605
(315) 366-2501
(315) 366-2566
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00474153
—
NY
Enumeration date
03/21/2007
Last updated
04/20/2015
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