Organization
SULLIVAN COUNTY PUBLIC HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JILL HUBERT-SIMON MS (DEPUTY DIRECTOR)
(845) 292-5910
Entity
Organization
Contact information
Practice address
50 COMMUNITY LN, LIBERTY, NY 12754-2851
(845) 292-5910
(845) 513-2276
Mailing address
50 COMMUNITY LN, PO BOX 590, LIBERTY, NY 12754-2851
(845) 292-5910
(845) 513-2276
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00472977
—
NY
Enumeration date
01/26/2007
Last updated
07/08/2024
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