NPI | 1578913257 |
---|---|
Other Name | FINGER LAKES DDSO-CHESHIRE RD |
Entity Type | Organization |
Authorized Contact | EARL JEFFERSON Director Of Central Operations 518-402-4333 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: NY 00232123) |
Enumeration Date | 2016-06-14 |
Last Update Date | 2016-06-14 |