Organization
COUNTY OF OTSEGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI BOND (PUBLIC HEALTH DIRECTOR)
(607) 547-4230
Entity
Organization
Contact information
Practice address
140 COUNTY HIGHWAY 33W, SUITE 3, COOPERSTOWN, NY 13326-4953
(607) 547-4230
(607) 547-4385
Mailing address
140 COUNTY HIGHWAY 33W STE 3, COOPERSTOWN, NY 13326-4955
(607) 547-4230
(607) 547-6402
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
1392L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02689958
—
NY
01
—
600001251
RR TRAVELERS MEDICARE B
NY
Enumeration date
02/05/2007
Last updated
06/27/2023
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