| Soldiers & Sailors Hospital Psych | |
|
418 N Main St Penn Yan NY 14527-1070 | |
| (315) 787-4150 | |
| (315) 787-4794 |
| Full Name | Soldiers & Sailors Hospital Psych |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 418 N Main St, Penn Yan, New York |
| Authorized Official Name and Position | Pamela E Johnson (TREASURER & CFO) |
| Authorized Official Contact | 3157874030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soldiers & Sailors Hospital Psych 196 North St Geneva NY 14456-1651 Ph: (315) 787-4150 | Soldiers & Sailors Hospital Psych 418 N Main St Penn Yan NY 14527-1070 Ph: (315) 787-4150 |
| NPI Number | 1285777086 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 11/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285777086 | NPI | - | NPPES |
| 106134EU | Other | NY | PREFERRED CARE |
| 00336498 | Medicaid | NY | |
| XW | Other | NY | BLUE CROSS |
| 0120050XW | Other | NY | BLUE CHOICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
James L Coles Lcsw, Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1 Keuka Business Park, Penn Yan, NY 14527 Phone: 716-472-5962 Fax: 716-387-9696 |