| Asi Of Cortland, Llc | |
|
17 Main St Suite 411 Cortland NY 13045-6606 | |
| (607) 756-4167 | |
| Not Available |
| Full Name | Asi Of Cortland, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 17 Main St, Cortland, New York |
| Authorized Official Name and Position | Susan M Neugang (PRESIDENT/CLINICAL SUPERVISOR) |
| 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 Suite 411 Cortland NY 13045-6606 Ph: (607) 756-4167 | Asi Of Cortland, Llc 17 Main St Suite 411 Cortland NY 13045-6606 Ph: (607) 756-4167 |
| NPI Number | 1083915235 |
|---|---|
| Provider Enumeration Date | 11/04/2010 |
| Last Update Date | 11/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083915235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 120111451 (New York) | Primary |
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