Organization
MERCY OF NORTHERN NEW YORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUZANNE STEINAU (EXECUTIVE DIRECTOR)
(315) 782-7400
Entity
Organization
Contact information
Practice address
218 STONE ST, WATERTOWN, NY 13601-3211
(315) 782-7400
Mailing address
218 STONE ST, WATERTOWN, NY 13601-3211
(315) 782-7400
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01226071
—
NY
01
—
2201001N
OPERATING CERTIFICATE #
NY
Enumeration date
03/07/2007
Last updated
08/21/2007
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