Organization
MICHAEL COCHRAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL COCHRAN M.A. (DIRECTOR)
(518) 524-4955
Entity
Organization
Contact information
Practice address
96 CLINTON AVE APT 2, SARANAC LAKE, NY 12983-2066
(518) 524-4955
Mailing address
96 CLINTON AVE APT 2, SARANAC LAKE, NY 12983-2066
(518) 524-4955
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01783742
—
NY
Enumeration date
05/21/2007
Last updated
08/22/2020
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