Organization
NORTH COUNTRY CTR FOR INDEPENDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW D. PULRANG MS (EXECUTIVE DIRECTOR)
(518) 563-9058
Entity
Organization
Contact information
Practice address
102 SHARRON AVE, PLATTSBURGH, NY 12901-3827
(518) 563-9058
(518) 563-0292
Mailing address
102 SHARRON AVE, PLATTSBURGH, NY 12901-3827
(518) 563-9058
(518) 563-0292
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01783866
—
NY
Enumeration date
05/22/2007
Last updated
07/21/2022
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