Organization
CHAUTUAQUA COUNTY OFFICE FOR THE AGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DOLORES D FAIRBANKS (SR ACCOUNT CLERK)
(716) 753-4473
Entity
Organization
Contact information
Practice address
7 N ERIE ST, MAYVILLE, NY 14757-1027
(716) 753-4471
(716) 753-4477
Mailing address
7 N ERIE ST, MAYVILLE, NY 14757-1027
(716) 753-4471
(716) 753-4477
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01997144
—
NY
Enumeration date
12/11/2014
Last updated
12/11/2014
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