Organization
TIOGA COUNTY
Active
Parent organization
TIOGA COUNTY
Other names
D & T Clinic-Tioga Co Health Dept
Organization subpart
Yes
Provider details
NPI number
Legal business name
TIOGA COUNTY
Authorized official
MS. JANICE M YURICEK (ADMINISTRATIVE ACCOUNTING SUPERVISO)
(607) 687-8573
Entity
Organization
Contact information
Practice address
1062 RT 38, OWEGO, NY 13827-3209
(607) 687-8600
Mailing address
1062 RT 38, OWEGO, NY 13827-3209
(607) 687-8600
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
5324200R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00356294
—
NY
Enumeration date
01/16/2007
Last updated
10/04/2012
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