Organization
CA BOCES
Active
Organization
CA BOCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID J LEE RN (RN)
(585) 576-2426
Entity
Organization
Contact information
Practice address
1626 WASHINGTON ST., OLEAN, NY 14760
(716) 375-8960
Mailing address
1825 WINDFALL RD., OLEAN, NY 14760
(716) 376-8200
(716) 376-8450
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
163W00000X
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57613-1
REGISTERED PROFESSIONAL NURSE
NY
Enumeration date
06/30/2015
Last updated
06/30/2015
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