Organization
SENECA COUNTY HEALTH DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT KING (DIRECTOR OF PUBLIC HEALTH)
(315) 539-1920
Entity
Organization
Contact information
Practice address
2465 BONADENT DR. SUITE 3, WATERLOO, NY 13165
(315) 539-1920
(315) 539-9493
Mailing address
2465 BONADENT DR. SUITE 3, WATERLOO, NY 13165
(315) 539-1920
(315) 539-9493
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
1239L001
NY
251B00000X
Case Management Agency
1239L001
NY
251K00000X
Public Health or Welfare Agency
L1239L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00355399
—
NY
05
—
00355862
—
NY
05
—
01430955
—
NY
01
—
0159835
EXCELLUS
NY
01
—
P0150035
EXCELLUS
NY
Enumeration date
12/03/2008
Last updated
11/24/2021
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