Provider Demographics
NPI:1033114004
Name:FAMILY PLANNING OF SOUTH CENTRAL NEW YORK, INC.
Entity Type:Organization
Organization Name:FAMILY PLANNING OF SOUTH CENTRAL NEW YORK, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARCUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-432-2252
Mailing Address - Street 1:37 DIETZ ST
Mailing Address - Street 2:
Mailing Address - City:ONEONTA
Mailing Address - State:NY
Mailing Address - Zip Code:13820-1882
Mailing Address - Country:US
Mailing Address - Phone:607-432-2252
Mailing Address - Fax:607-432-7206
Practice Address - Street 1:37 DIETZ ST
Practice Address - Street 2:
Practice Address - City:ONEONTA
Practice Address - State:NY
Practice Address - Zip Code:13820-1882
Practice Address - Country:US
Practice Address - Phone:607-432-2252
Practice Address - Fax:607-432-7206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-16
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3801202R261QF0050X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY20005690OtherMVP
NY00468777Medicaid
NY0299753OtherFHP-GHI PPO
NY000116717OtherBCBS
NY00020550OtherFHP-GHI HMO
NY00468777Medicaid