Organization
COUNTY OF CATTARAUGUS
Active
Other names
Early Intervention
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN D WATKINS MD, MPH (PUBLIC HEALTH DIRECTOR)
(716) 701-3398
Entity
Organization
Contact information
Practice address
1 LEO MOSS DR, SUITE 4010, OLEAN, NY 14760-1100
(716) 373-8050
(716) 701-3737
Mailing address
1 LEO MOSS DR, SUITE 4010, OLEAN, NY 14760-1100
(716) 373-8050
(716) 701-3737
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NY
251K00000X
Public Health or Welfare Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00474777
EI SERVICE
NY
05
—
00474777
—
NY
Enumeration date
09/13/2006
Last updated
07/23/2012
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