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Contact Information

ESSEX COUNTY CHAPTER, NYSARC, INC.
10 ST. PATRICK'S PLACE
PORT HENRY, NY12974
 Phone: 518-546-3051
 Fax: 518-546-3094
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Early Intervention Provider Agency

252Y00000X
 

Developmental Disabilities

261QD1600X
Indicates primary specialty

NPI Profile & details for ESSEX COUNTY CHAPTER, NYSARC, INC.

NPI Number 1427134451
LBN Legal business name ESSEX COUNTY CHAPTER, NYSARC, INC.
Authorized official MARTIN NEPHEW - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/31/2006
Last updated 03/23/2016 - About 10 years ago
Identifiers
NY License # 150901880216
NY Medicaid 01276842
NY Other 03 LOCATOR CODE
NY Other 6763301 OPERATING CERTIFICATE #
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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