National Provider Identifier Database

PATHFINDER VILLAGE INC
Voluntary or Charitable


Contact Information

PATHFINDER VILLAGE, INC
3 CHENANGO ROAD
EDMESTON, NY13335
Phone: 607-965-8377
Fax: 607-965-8655
Website:
Specialty Taxonomy Code
* Voluntary or Charitable 251V00000X

* Indicates primary specialty

NPI Profile & details for PATHFINDER VILLAGE, INC

NPI Number 1821284480
Legal business name
LBN
PATHFINDER VILLAGE, INC
Authorized official EDWARD SHAFER - (CEO)
Entity Organization
Organization subpart No
Enumeration date 09/18/2007
Last updated 09/18/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: 0493493
  • NY Medicaid: 02004548
  • NY Medicaid: 02248346

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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