Organization
PATHFINDER VILLAGE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD A SHAFER (CEO)
(607) 965-8377
Entity
Organization
Contact information
Practice address
3 CHENANGO ROAD, EDMESTON, NY 13335
(607) 965-8377
(607) 965-8655
Mailing address
3 CHENANGO ROAD, EDMESTON, NY 13335
(607) 965-8377
(607) 965-8655
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
0493493
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02004548
—
NY
05
—
02248346
—
NY
Enumeration date
09/18/2007
Last updated
09/18/2007
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