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Contact Information

CGSR, INC
154 PROSPECT AVE
PLATTSBURGH, NY12901-1302
 Phone: 518-563-5440
 Fax: 518-563-1206
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Nursing Facility Supplies

332BN1400X 87 All Other Suppliers
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for CGSR, INC

NPI # 1215930292
LBN Legal business name CGSR, INC
Authorized official PAUL RICHARDS - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/24/2005
Last updated 12/31/2019 - About 6 years ago
Identifiers
NY License # 0901303N
NY Medicaid 02994732
NY Other 08-41529-7 NYS EMPLOYER ID
NY Other 0901303N OPERATING CERTIFICATE NUM
NY Other 0140 PFI
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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