Organization
SULLIVAN COUNTY BOCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH MENGES (TREASURER)
(845) 295-4014
Entity
Organization
Contact information
Practice address
6 WIERK AVE, LIBERTY, NY 12754-2117
(845) 295-4143
(845) 295-0513
Mailing address
6 WIERK AVE, LIBERTY, NY 12754-2117
(845) 295-4143
(845) 295-0513
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
01479767
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01479767
—
NY
Enumeration date
08/05/2008
Last updated
08/05/2008
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