Chautauqua County Nys Doh Early Intervention Program

Organization Active NPI Early Intervention Provider Agency · Mayville, NY

NPI 1407901291 · NPPES record last updated Jun 7, 2012

Key facts

NPI
1407901291
Entity type
Organization (NPI type 2)
Primary specialty
Early Intervention Provider Agency 252Y00000X
Legal business name
CHAUTAUQUA COUNTY NYS DOH EARLY INTERVENTION PROGRAM
Practice address
7 N Erie St
Mayville, NY 14757-1090
Phone
(716) 753-4792
Fax
(716) 753-4794
NPI assigned
Jan 24, 2007
Organization subpart
No

Authorized official

Name
Mrs. Christine Schuyler, BSN, MHA
Title
Public Health Director
Phone
(716) 753-4797

Corporate family (same tax ID) 11

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
County of Chautauqua a Mun (12 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NY
Public Health or Welfare Agency 251K00000X
Early Intervention Provider Agency 252Y00000X
Early Intervention Provider Agency 252Y00000X NY Yes

Addresses

Primary practice location

7 N Erie St
Mayville, NY 14757-1090

Mailing address

7 N Erie St
Mayville, NY 14757-1090
Phone (716) 753-4792

Other identifiers

IdentifierTypeStateIssuer
00474800MedicaidNY
02961746MedicaidNY
01440362MedicaidNY

Other providers in Mayville, NY

All providers in Mayville, NY · Early Intervention Provider Agency in New York

Sources for this page

Verify at the official NPI Registry.