Organization
PROACTION OF STEUBEN AND YATES, INC.
Active
Other names
WIC Program
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA COGSWELL CDN (WIC PROGRAM DIRECTOR)
(607) 776-1151
Entity
Organization
Contact information
Practice address
117 E STEUBEN ST, BATH, NY 14810-1636
(607) 776-1151
(607) 776-2803
Mailing address
117 E STEUBEN ST, BATH, NY 14810-1636
(607) 776-1151
(607) 776-2803
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NO TAXONOMY CODE
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01168258
—
NY
Enumeration date
10/02/2009
Last updated
10/02/2009
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