Organization
HERKIMER COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA CAIN RN, BSN, MA, MS (ACTING DIRECTOR)
(315) 867-1176
Entity
Organization
Contact information
Practice address
301 N WASHINGTON ST, HERKIMER, NY 13350-1216
(315) 867-1176
Mailing address
301 N WASHINGTON ST, HERKIMER, NY 13350-1216
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
2124200R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00473712
—
NY
01
—
337051
MEDICARE PTAN
NY
Enumeration date
04/22/2013
Last updated
01/03/2024
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