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Organization

CHAUTAUQUA COUNTY EIP SERVICE COORDINATION SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CHRISTINE SCHUYLER BSN, MHA (PUBLIC HEALTH DIRECTOR)
(716) 753-4797
Entity
Organization

Contact information

Practice address
7 N ERIE ST, MAYVILLE, NY 14757-1090
(716) 753-4792
(716) 753-4794
Mailing address
7 N ERIE ST, MAYVILLE, NY 14757-1090
(716) 753-4785
(716) 753-4794

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
NY
174400000X
Specialist
NY
251B00000X
Case Management Agency
251K00000X
Public Health or Welfare Agency
NY
252Y00000X
Early Intervention Provider Agency
Primary
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01440362
NY
05
02961746
NY
Enumeration date
03/05/2007
Last updated
07/23/2012
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  • EDI platform