NYSARC INC MONTGOMERY COUNTY CHAPTER LIBERTY; NPI #1376902734

Contact Information

NYSARC INC MONTGOMERY COUNTY CHAPTER LIBERTY

47 LIBERTY DR
AMSTERDAM, NY 12010

Phone: 518-954-2027
Fax: 518-954-2009
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Multi-Specialty	261QM1300X	70	Clinic or Group Practice

Indicates primary specialty

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NPI Profile & details for NYSARC INC MONTGOMERY COUNTY CHAPTER LIBERTY

NPI # 1376902734

LBN Legal business name NYSARC INC MONTGOMERY COUNTY CHAPTER LIBERTY

Authorized official JENNIFER SAUNDERS - (CEO)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 02/15/2016

Last updated 06/07/2016 - About 10 years ago

Identifiers

NY	Medicaid	00644606
NY	Medicaid	01385217
NY	Medicaid	01494471
NY	Medicaid	01750518
NY	Medicaid	02002115
NY	Medicaid	02061801
NY	Medicaid	02171800
NY	Medicaid	02245476
NY	Medicaid	02247652
NY	Medicaid	02247698
NY	Medicaid	02416264
NY	Medicaid	02599411
NY	Medicaid	02617792
NY	Medicaid	02621043
NY	Medicaid	02700049
NY	Medicaid	02714189
NY	Medicaid	02924252
NY	Medicaid	03588281

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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