| Family Services Of Chemung County,inc. | |
|
1019 E Water St Elmira NY 14901-3332 | |
| (607) 733-5696 | |
| (607) 733-5486 |
| Full Name | Family Services Of Chemung County,inc. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1019 E Water St, Elmira, New York |
| Authorized Official Name and Position | David Quirello (CFO) |
| Authorized Official Contact | 6077335696 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Services Of Chemung County,inc. 1019 E Water St Elmira NY 14901-3332 Ph: (607) 733-5696 | Family Services Of Chemung County,inc. 1019 E Water St Elmira NY 14901-3332 Ph: (607) 733-5696 |
| NPI Number | 1912397845 |
|---|---|
| Provider Enumeration Date | 01/30/2015 |
| Last Update Date | 12/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912397845 | NPI | - | NPPES |
| 03355777 | Medicaid | NY | |
| 00399000 | Medicaid | NY | |
| 1619922432 | Other | NPI | |
| 03740530 | Medicaid | NY | |
| 03116121 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 6507100A (New York) | Primary |
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