Organization
ELMIRA PSYCHIATRIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEAN JOHN'S (MEDICAL SECRETARY)
(607) 737-4811
Entity
Organization
Contact information
Practice address
100 WASHINGTON ST, ELMIRA, NY 14901-2849
(607) 737-4811
Mailing address
209 BENJAMIN HILL RD, NEWFIELD, NY 14867-9605
(607) 379-1861
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
F401485-1
NY
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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