Organization
LEWIS COUNTY
Active
Other names
L.C. Public Health-Early Intervention
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY WAITE RN, BSN, MPH (PUBLIC HEALTH DIRECTOR)
(315) 376-5453
Entity
Organization
Contact information
Practice address
7785 N STATE ST, SUITE 2, LOWVILLE, NY 13367-1229
(315) 376-5453
(315) 376-7013
Mailing address
7785 N STATE ST, SUITE 2, LOWVILLE, NY 13367-1229
(315) 376-5453
(315) 376-7013
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00583688
—
NY
Enumeration date
01/12/2007
Last updated
12/06/2022
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