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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
251K00000X
Public Health or Welfare Agency
Primary
0401200R
NY
252Y00000X
Early Intervention Provider Agency
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00475049
NY
Enumeration date
04/06/2007
Last updated
08/03/2012
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