STATE OF NEW YORK COMPTROLLERS OFFICE

NPI # 

Practice Address:

36 Owego St

Cortland, NY, 13045-2918

Practice Phone:

607-756-5637

License Number:

00274370

License State:

NY

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Developmental Disabilities

Taxonomy Code:

261QD1600X