| Handicapped Childrens Assn Of Southern Ny | |
|
18 Broad St Johnson City NY 13790-2106 | |
| (607) 217-0066 | |
| Not Available |
| Full Name | Handicapped Childrens Assn Of Southern Ny |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 18 Broad St, Johnson City, New York |
| Authorized Official Name and Position | Thomas Mandelkow (EXEC VP) |
| Authorized Official Contact | 2129475770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Handicapped Childrens Assn Of Southern Ny 330 W 34th St Fl 15 New York NY 10001-2406 Ph: (212) 947-5770 | Handicapped Childrens Assn Of Southern Ny 18 Broad St Johnson City NY 13790-2106 Ph: (607) 217-0066 |
| NPI Number | 1437335312 |
|---|---|
| Provider Enumeration Date | 01/10/2008 |
| Last Update Date | 01/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437335312 | NPI | - | NPPES |
| 014 | Medicaid | NY | |
| 00947324 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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United Health Services Hospitals, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 33-57 Harrison St., Johnson City, NY 13790 Phone: 607-762-3027 |