Organization
HEALTH SERVICES OF NORTHERN NEW YORK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATHEW OBRYAN (ADMINISTRATOR)
(315) 265-4065
Entity
Organization
Contact information
Practice address
56 MARKET ST, POTSDAM, NY 13676-1747
(315) 265-4065
(315) 265-0012
Mailing address
56 MARKET ST, POTSDAM, NY 13676-1747
(315) 265-4065
(315) 265-0012
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00953677
—
NY
05
—
01102469
—
NY
05
—
01142814
—
NY
01
—
337256
EXCELLUS BLUE CROSS BLUE
NY
Enumeration date
09/15/2006
Last updated
11/02/2015
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