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Organization

COUNTY OF WAYNE

Active
Other names
Wayne County Public Health
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DIANE M DEVLIN MS, RN, ANP (DIRECTOR OF PUBLIC HEALTH)
(315) 946-5749
Entity
Organization

Contact information

Practice address
1519 NYE RD, SUITE 200, LYONS, NY 14489
(315) 946-5749
(315) 946-5762
Mailing address
1519 NYE RD, SUITE 200, LYONS, NY 14489
(315) 946-5749
(315) 946-5762

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
00355899
NY
05
3001970
NY
Enumeration date
10/10/2006
Last updated
06/07/2012
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