Organization
SUNY POTSDAM STUDENT HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARILYN BARTLETT DOELGER ANP (DIRECTOR OF STUDENT HEALTH SERVICES)
(315) 267-2377
Entity
Organization
Contact information
Practice address
44 PIERREPONT AVE, STUDENT HEALTH SERVICES, POTSDAM, NY 13676-2200
(315) 267-2377
Mailing address
44 PIERREPONT AVE, POTSDAM, NY 13676-2200
(315) 267-2377
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
261QS1000X
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106764
LICENSE NUMBER
NY
01
—
301038
LICENSE NUMBER
NY
01
—
301604
LICENSE NUMBER
NY
01
—
334042
LICENSE NUMBER
NY
Enumeration date
10/06/2006
Last updated
08/22/2020
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