Organization
COUNTY OF GREENE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY KAPLAN MA, RN (INTERIM DIRECTOR OF PUBLIC HEALTH)
(518) 719-3630
Entity
Organization
Contact information
Practice address
411 MAIN ST FL 3, CATSKILL, NY 12414-1363
(518) 719-3600
(518) 719-3799
Mailing address
411 MAIN ST FL 3, CATSKILL, NY 12414-1363
(518) 719-3600
(518) 719-3799
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
2169L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000400508001
BSNENY SR BLUE
NY
01
—
004394
EMPIRE BLUE CROSS BLUE SHIELD
NY
01
—
004394
EMPIRE BC BS
—
05
—
03225096
—
NY
01
—
040401000521
FIDELIS CARE
NY
01
—
10002875-H874
CDPHP
NY
01
—
114927
WELLCARE
NY
01
—
2283849
AETNA
NY
01
—
56378
MVP
NY
01
—
P00475518
MEDICARE B RR
NY
01
—
WZZYW1
MEDICARE B
NY
Enumeration date
08/31/2006
Last updated
07/21/2015
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