New York State Opwdd

NPI #1891152724 in Camden, New York

Provider Information

NPI Number
1891152724
Entity Type
Organization
Organization Name
New York State Opwdd
Subpart
Yes (part of a larger organization)
Parent Organization
CNYDDSO
Primary Specialty
Voluntary or Charitable
Enumeration Date
Jan 22, 2016
Last Updated
Jan 22, 2016

Practice Location

Address
65 MAIN ST
City
Camden
ZIP Code
13316-1339
Phone
(315) 245-4121

Authorized Official

Name
LYNETTE O'BRIEN
Title
DEPUTY DIRECTORY, CNY DDSO
Phone
(315) 473-6979

Specialties & Taxonomy Codes

Specialty
Voluntary or Charitable

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