Organization
CHEMUNG COUNTY EARLY INTERVENTION PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNE L JERNIGAN M.S. CCC-SLP (EARLY INTERVENTION OFFICIAL)
(607) 737-5568
Entity
Organization
Contact information
Practice address
425 PENNSYLVANIA AVE, ELMIRA, NY 14904-1762
(607) 737-5569
(607) 737-5480
Mailing address
425 PENNSYLVANIA AVE, ELMIRA, NY 14904-1762
(607) 737-5569
(607) 737-5480
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01760530
—
NY
Enumeration date
04/30/2007
Last updated
07/30/2012
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