Organization
NYSARC INC., CHEMUNG COUNTY CHAPTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL T. RANIEWICZ (AGENCY CONTROLLER)
(607) 734-6151
Entity
Organization
Contact information
Practice address
711 SULLIVAN ST, ELMIRA, NY 14901-2322
(607) 734-6151
(607) 734-2943
Mailing address
711 SULLIVAN ST, ELMIRA, NY 14901-2322
(607) 734-6151
(607) 734-2943
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02857183
—
NY
Enumeration date
12/27/2006
Last updated
03/27/2008
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