Organization
CATHOLIC CHARITIES OF OSWEGO COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY-MARGARET PEZZELLA-PEKOW LMSW (EXECUTIVE DIRECTOR)
(315) 598-3980
Entity
Organization
Contact information
Practice address
808 W BROADWAY, FULTON, NY 13069
(315) 598-3980
(315) 593-8440
Mailing address
808 W BROADWAY, FULTON, NY 13069-1560
(315) 598-3980
(315) 593-8440
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03014808
—
NY
Enumeration date
08/05/2008
Last updated
06/14/2018
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