Organization
TIOGA COUNTY HEALTH DEPARTMENT
Active
Parent organization
TIOGA COUNTY
Other names
Dental Van
Organization subpart
Yes
Provider details
NPI number
Legal business name
TIOGA COUNTY
Authorized official
MR. DENIS G MCCANN (DIRECTOR OF ADMINISTRATIVE SERVICES)
(607) 687-8604
Entity
Organization
Contact information
Practice address
1062 STATE RTE 38, OWEGO, NY 13827-0120
(607) 687-8600
(607) 687-2916
Mailing address
1062 STATE RTE 38, OWEGO, NY 13827-0120
(607) 687-8600
(607) 687-2916
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
53234200R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00356294
—
NY
Enumeration date
01/16/2007
Last updated
11/20/2013
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