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Organization

GOUVERNEUR HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KELLY J CICCHINELLI (VP OF FINANCE)
(315) 261-5102
Entity
Organization

Contact information

Practice address
2924 COUNTY ROUTE 17, DEKALB JCT, NY 13630-3136
(315) 347-3830
Mailing address
50 LEROY ST, POTSDAM, NY 13676-1786

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Enumeration date
09/23/2022
Last updated
09/23/2022
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