Federal Correctional Institution, Otisville

NPI #1710310461 in Otisville, New York

Provider Information

NPI Number
1710310461
Entity Type
Organization
Organization Name
Federal Correctional Institution, Otisville
Subpart
Yes (part of a larger organization)
Parent Organization
FEDERAL BUREAU OF PRISONS
Primary Specialty
Clinic/Center - Prison Health
Enumeration Date
Aug 16, 2013
Last Updated
Aug 16, 2013

Practice Location

Address
TWO MILE DRIVE
ZIP Code
10963-0600
Phone
(845) 386-6820

Authorized Official

Name
MR. CHESTER L MCKINNEY
Title
HEALTH SERVICES ADMINISTRATOR
Phone
(845) 386-6820

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Prison HealthPrison Health

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