Organization
ESSEX COUNTY PUBLIC HEALTH NURSING SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN DANA KNOX (FISCAL ADMINISTRATOR)
(518) 873-3503
Entity
Organization
Contact information
Practice address
132 WATER ST., ELIZABETHTOWN, NY 12932-0217
(518) 873-3500
(518) 873-3539
Mailing address
132 WATER STREET, PO BOX 217, ELIZABETHTOWN, NY 12932-0217
(518) 873-3500
(518) 873-3539
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02996761
—
NY
Enumeration date
01/23/2007
Last updated
04/16/2015
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