Family Services Of Chemung County,inc. | |
1019 E Water St Elmira NY 14901-3332 | |
(607) 733-5696 | |
(607) 733-5486 |
Full Name | Family Services Of Chemung County,inc. |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 1019 E Water St, Elmira, New York |
Authorized Official Name and Position | David Quirello (CFO) |
Authorized Official Contact | 6077335696 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Family Services Of Chemung County,inc. 1019 E Water St Elmira NY 14901-3332 Ph: (607) 733-5696 | Family Services Of Chemung County,inc. 1019 E Water St Elmira NY 14901-3332 Ph: (607) 733-5696 |
NPI Number | 1912397845 |
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Provider Enumeration Date | 01/30/2015 |
Last Update Date | 12/28/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912397845 | NPI | - | NPPES |
03355777 | Medicaid | NY | |
00399000 | Medicaid | NY | |
1619922432 | Other | NPI | |
03740530 | Medicaid | NY | |
03116121 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | 6507100A (New York) | Primary |
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