Broome Ddso Clinic

LBN: Broome Ddso Clinic
Broome Ddso Clinic is an health care organization with primary practice located at 17 Midland Dr , Norwich NY 13815-1914. The organization recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as the primary health care specialty. Broome Ddso Clinic can be contacted via phone (518) 402-4333, or through Smith, Karla via phone (518) 402-4333.

Contact Information

Primary practice address
17 Midland Dr Norwich NY 13815-1914
Phone: (518) 402-4333
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Smith, Karla
Phone: (518) 402-4333

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X 00233170 New York

Profile Details

NPI number 1831223718
LBN Legal business name Broome Ddso Clinic
DBA Doing business as
Authorized official Smith, Karla
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2007
Last updated Aug 20th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831223718 NPPES
New York MEDICAID 01419121

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