Organization
CLINTON COUNTY
Active
Other names
Clinton County Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTHA C PEDULLA (COMPTROLLER)
(518) 563-0950
Entity
Organization
Contact information
Practice address
16 FLYNN AVENUE, PLATTSBURGH, NY 12901-3797
(518) 563-0950
(518) 563-1060
Mailing address
16 FLYNN AVENUE, PLATTSBURGH, NY 12901-3797
(518) 563-0950
(518) 563-1060
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0952300N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00583624
—
NY
Enumeration date
01/09/2007
Last updated
01/24/2012
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