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Organization

EARLY INTERVENTION PROGRAM

Active
Parent organization
CORTLAND COUNTY HEALTH DEPARTMENT
Organization subpart
Yes

Provider details

NPI number
Legal business name
CORTLAND COUNTY HEALTH DEPARTMENT
Authorized official
MRS. CATHERINE FEUERHERM RN MSN (PUBLIC HEALTH DIRECTOR)
(607) 753-5135
Entity
Organization

Contact information

Practice address
60 CENTRAL AVE, CORTLAND, NY 13045-2746
(607) 753-5135
(607) 753-5209
Mailing address
60 CENTRAL AVE, CORTLAND, NY 13045-2746
(607) 753-5135
(607) 753-5209

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
252Y00000X
Early Intervention Provider Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00474240
NY
Enumeration date
07/12/2005
Last updated
07/09/2012
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