Organization
FAMILY SERVICES OF CHEMUNG COUNTY,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID QUIRELLO (CFO)
(607) 733-5696
Entity
Organization
Contact information
Practice address
1019 E WATER ST, ELMIRA, NY 14901-3332
(607) 733-5696
(607) 733-5486
Mailing address
1019 E WATER ST, ELMIRA, NY 14901-3332
(607) 733-5696
(607) 733-5486
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
6507100A
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00399000
—
NY
05
—
03116121
—
NY
05
—
03355777
—
NY
05
—
03740530
—
NY
01
—
1619922432
NPI
—
Enumeration date
01/30/2015
Last updated
12/28/2016
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