Organization
PROACTION OF STEUBEN AND YATES INC
Active
Organization
PROACTION OF STEUBEN AND YATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN PIERSON (MEDICAID ENROLLMENT MANAGER)
(607) 776-2125
Entity
Organization
Contact information
Practice address
117 E STEUBEN ST, BATH, NY 14810-1636
(607) 776-2125
(607) 776-2723
Mailing address
117 E STEUBEN ST, BATH, NY 14810-1636
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01054113
—
NY
Enumeration date
04/18/2007
Last updated
09/04/2007
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