Organization
TIOGA COUNTY HEALTH DEPARTMENT
Active
Other names
DentalSB-Ann Lee
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA L SCHRIER (ADMINISTRATIVE ACCOUNTING SUPERVISO)
(607) 687-8573
Entity
Organization
Contact information
Practice address
1062 ROUTE 38, OWEGO, NY 13827-0120
(607) 687-8600
Mailing address
1062 ROUTE 38, OWEGO, NY 13827-0120
(607) 687-8600
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
5324200R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00356294
—
NY
Enumeration date
04/18/2007
Last updated
08/22/2020
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