North Country Children's Clinic, Inc. | |
13180 Us Route 11 Adams Center NY 13606-2276 | |
(315) 583-5200 | |
(315) 583-5255 |
Full Name | North Country Children's Clinic, Inc. |
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Speciality | Social Worker - Clinical |
Location | 13180 Us Route 11, Adams Center, New York |
Authorized Official Name and Position | Aileen Martin (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 3157829450 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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North Country Children's Clinic, Inc. 238 Arsenal St Watertown NY 13601-2504 Ph: (315) 782-9450 | North Country Children's Clinic, Inc. 13180 Us Route 11 Adams Center NY 13606-2276 Ph: (315) 583-5200 |
NPI Number | 1659651321 |
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Provider Enumeration Date | 08/25/2011 |
Last Update Date | 08/25/2011 |
Identifier | Type | State | Issuer |
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1659651321 | NPI | - | NPPES |
00583702 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | 080061-1 (New York) | Primary |