Organization
COUNTY OF CATTARAUGUS
Active
Other names
Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN D WATKINS MD, MPH (PUBLIC HEALTH DIRECTOR)
(716) 701-3398
Entity
Organization
Contact information
Practice address
1 LEO MOSS DR, SUITE 4010, OLEAN, NY 14760-1100
(716) 701-3398
(716) 701-3737
Mailing address
1 LEO MOSS DR, SUITE 4010, OLEAN, NY 14760-1100
(716) 373-8050
(716) 701-3737
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
33D0654979, PFI 1935
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005047841001
BC/BS
NY
05
—
00635685
—
NY
Enumeration date
05/26/2006
Last updated
02/11/2010
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