Organization
COUNTY OF OTSEGO
Active
Other names
Otsego Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDMOND MARCHI (ADMINISTRATOR)
(607) 544-2660
Entity
Organization
Contact information
Practice address
128 PHOENIX MILLS CROSS RD, COOPERSTOWN, NY 13326-5716
(607) 544-2600
(607) 544-2716
Mailing address
128 PHOENIX MILLS CROSS RD, COOPERSTOWN, NY 13326-5716
(607) 544-2600
(607) 547-2716
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3859300N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00356414
—
NY
Enumeration date
01/03/2006
Last updated
09/28/2007
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