Organization
STEUBEN COUNTY
Active
Organization
STEUBEN COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI DRAKE (ACCOUNTANT)
(607) 664-2438
Entity
Organization
Contact information
Practice address
3 PULTENEY SQ E, BATH, NY 14810-1510
(607) 664-2146
(607) 664-2197
Mailing address
3 PULTENEY SQ E, BATH, NY 14810-1510
(607) 664-2146
(607) 664-2197
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00355880
—
NY
Enumeration date
03/22/2007
Last updated
06/14/2021
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