Organization
HCA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE BRESLIN (CLINICAL DIRECTOR)
(607) 798-7117
Entity
Organization
Contact information
Practice address
18 BROAD ST, JOHNSON CITY, NY 13790-2106
(607) 798-7117
Mailing address
18 BROAD ST, JOHNSON CITY, NY 13790-2106
(607) 798-7117
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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