Organization
COUNTY OF ONEIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS WILLIAM ENGLE (FSA)
(315) 798-5080
Entity
Organization
Contact information
Practice address
406 ELIZABETH ST, UTICA, NY 13501-2306
(315) 798-5747
(315) 798-1057
Mailing address
185 GENESEE ST, UTICA, NY 13501-2102
(315) 798-5080
(315) 798-5022
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
127636-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00474171
—
NY
01
—
P00081414
PALMETTO GBA - RAILROAD MEDICARE
NY
Enumeration date
03/05/2007
Last updated
01/16/2014
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