St. Lawrence Nysarc

Key facts

NPI

1891933982

Entity type

Organization (NPI type 2)

Primary specialty

Bus 347B00000X

License

13328LA (NY)

Legal business name

ST. LAWRENCE NYSARC

Practice address

6 Commerce LN
Canton, NY 13617-3738

Phone

(315) 379-9531

Fax

(315) 379-0834

NPI assigned

Jan 27, 2009

Organization subpart

Yes

Parent organization (as reported)

NYSARC INC.

Authorized official

Name

Ms. Daphne A Pickert

Title

Executive Director

Phone

(315) 379-9531

National Provider Directory

Part of

Putnam County Chapter Nys

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 27, 2009.

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233014400000",
    "number": "1891933982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 COMMERCE LN",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "136173738",
            "telephone_number": "315-379-9531",
            "fax_number": "315-379-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 COMMERCE LN",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "136173738",
            "telephone_number": "315-379-9531",
            "fax_number": "315-379-0834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LAWRENCE NYSARC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NYSARC INC.",
        "enumeration_date": "2009-01-27",
        "last_updated": "2009-01-27",
        "status": "A",
        "authorized_official_last_name": "PICKERT",
        "authorized_official_first_name": "DAPHNE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "315-379-9531",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "347B00000X",
            "taxonomy_group": "",
            "desc": "Bus",
            "state": "NY",
            "license": "13327LA",
            "primary": false
        },
        {
            "code": "347B00000X",
            "taxonomy_group": "",
            "desc": "Bus",
            "state": "NY",
            "license": "13328LA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01449081",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, NY

• St Lawrence County
• St Lawrence County Public Health Department
• St Lawrence Dental Studio PLLC
• St. Lawrence County CDP
• St. Lawrence County Community Development Program
• Matthew L. Stock, PA
• Megan Ashley Stone, RDH
• Mackenzie Sweeney, FNP-BC
• Tara Swinwood, FNPC
• Jill A Taulbee, LMSW

All providers in Canton, NY · Bus in New York