| Family Service Society Inc | |
|
280 Princeton Avenue Ext Corning NY 14830-1524 | |
| (607) 962-3148 | |
| (607) 962-8422 |
| Full Name | Family Service Society Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 280 Princeton Avenue Ext, Corning, New York |
| Authorized Official Name and Position | Cynthia Lyn Gee (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6079623148 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Service Society Inc 280 Princeton Avenue Ext Corning NY 14830-1524 Ph: (607) 962-3148 | Family Service Society Inc 280 Princeton Avenue Ext Corning NY 14830-1524 Ph: (607) 962-3148 |
| NPI Number | 1033854567 |
|---|---|
| Provider Enumeration Date | 04/29/2022 |
| Last Update Date | 04/29/2022 |
| Certification Date | 04/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033854567 | NPI | - | NPPES |
| 05585704 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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Family Service Society Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 280 Princeton Ave Ext, Corning, NY 14830 Phone: 607-962-3148 Fax: 607-962-8422 | |
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