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Chittenango Center Llc

Chittenango Center Llc is a health care provider in Whitestone, NY. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 331 Russell St, Chittenango, NY 13037-1201, US
Practice Location Phone315-687-7255
Practice Location Fax
Legal Business NameCHITTENANGO CENTER LLC
NPI ?1851615942
Entity TypeOrganization
Enumeration Date ? Mar 18, 2010
Last Update Date ? Oct 13, 2016
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Chittenango Center Llc

SpecialtySpecializationLicenseLicense State
Skilled Nursing Facility

legacy-id-icon Legacy Provider IDs of Chittenango Center Llc

Provider IdIssuer StateIssuer TypeIssuer
00356354New YorkMedicaid
335588New YorkMedicare Pin

official-icon Authorized Official of Chittenango Center Llc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Chittenango Center Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Jeremy Struass
Authorized Official Title/PositionCEO
Authorized Official Phone Number718-215-6000