Nys Opwdd

NPI #1053880906 in Corinth, New York

Provider Information

NPI Number: 1053880906
Entity Type: Organization
Organization Name: Nys Opwdd
Primary Specialty: Registered Nurse
Enumeration Date: Nov 21, 2018
Last Updated: Nov 21, 2018

Practice Location

Address: 200 SMITH DRIVE
City: Corinth
State: New York
ZIP Code: 12822
Phone: (518) 654-7680

Authorized Official

Name: DR. PAUL JOSEPH BYRON, MD/DO
Title: CLINIC DIRECTOR
Phone: (518) 788-2693

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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