Provider Demographics
NPI:1073707360
Name:OSWEGO COUNTY , COUNTY TREASURER
Entity Type:Organization
Organization Name:OSWEGO COUNTY , COUNTY TREASURER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PATIENT SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:O
Authorized Official - Last Name:CALTABIANO
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MS
Authorized Official - Phone:315-349-3548
Mailing Address - Street 1:46 E BRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:NY
Mailing Address - Zip Code:13126-2118
Mailing Address - Country:US
Mailing Address - Phone:315-349-3569
Mailing Address - Fax:315-349-3435
Practice Address - Street 1:70 BUNNER ST
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:NY
Practice Address - Zip Code:13126-3357
Practice Address - Country:US
Practice Address - Phone:315-349-3569
Practice Address - Fax:315-349-3435
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-30
Last Update Date:2011-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3702901L251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00909513Medicaid