| Asi Of Cortland, Llc | |
|
17 Main St Cortland NY 13045-6606 | |
| (607) 756-4167 | |
| (607) 753-0608 |
| Full Name | Asi Of Cortland, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 17 Main St, Cortland, New York |
| Authorized Official Name and Position | Susan M. Neufang (PRESIDENT ASI OF CORTLAND, LLC) |
| Authorized Official Contact | 6077564167 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Asi Of Cortland, Llc 17 Main St Cortland NY 13045-6606 Ph: (607) 756-4167 | Asi Of Cortland, Llc 17 Main St Cortland NY 13045-6606 Ph: (607) 756-4167 |
| NPI Number | 1063550465 |
|---|---|
| Provider Enumeration Date | 02/01/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063550465 | NPI | - | NPPES |
| 02525840 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (New York) | Primary |
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Asi Of Cortland, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 17 Main St, Suite 411, Cortland, NY 13045 Phone: 607-756-4167 | |
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