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1972786309
NEW YORK MEDICAID
AUBURN, NY
NPI
1972786309
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Entity Type
Organization
Authorized Contact
SUSAN SCARSELLETTA
Lpn
315-253-7629
Organization Subpart ?
No
Primary Taxonomy
251J00000X Nursing Care
(Licence: NY 137288-1)
Enumeration Date
2007-12-07
Last Update Date
2007-12-07
Business Address
NEW YORK MEDICAID
10 FOURTH AVE
AUBURN, NY 13021-5106
Phone number: 315-253-7629
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Mailing Address
NEW YORK MEDICAID
10 FOURTH AVE
AUBURN, NY 13021
Phone number: 315-253-7629
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