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1 Atwell Rd Cooperstown NY 13326-1301 | |
(607) 547-3931 | |
(607) 547-6325 |
Full Name | |
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Speciality | Psychiatric Unit |
Location | 1 Atwell Rd, Cooperstown, New York |
Authorized Official Name and Position | Nicholas J Nicoletta (CORPORATE VICE PRESIDENT & CFO) |
Authorized Official Contact | 6075473635 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1 Atwell Rd Cooperstown NY 13326-1301 Ph: (607) 547-3931 | 1 Atwell Rd Cooperstown NY 13326-1301 Ph: (607) 547-3931 |
NPI Number | 1063572733 |
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Provider Enumeration Date | 12/11/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1063572733 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |