Organization
MONTGOMERY COUNTY PUBLIC HEALTH DEPT.
Active
Parent organization
MONTGOMERY COUNTY
Organization subpart
Yes
Provider details
NPI number
Legal business name
MONTGOMERY COUNTY
Authorized official
MS. KIM D CONBOY RN, MS (PUBLIC HEALTH DIRECTOR)
(518) 853-3531
Entity
Organization
Contact information
Practice address
20 PARK ST, FONDA, NY 12068-4830
(518) 853-3531
(518) 853-8218
Mailing address
20 PARK ST, FONDA, NY 12068-4830
(518) 853-3531
(518) 853-8218
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QP0905X
State or Local Public Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00473556
—
NY
Enumeration date
04/17/2007
Last updated
04/07/2015
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