Provider Demographics
NPI:1205198579
Name:BROOME COUNTY HEALTH DEPT.
Entity Type:Organization
Organization Name:BROOME COUNTY HEALTH DEPT.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EARLY INTERVENTION SERVICE COORDINA
Authorized Official - Prefix:MRS
Authorized Official - First Name:BOBBIE
Authorized Official - Middle Name:JO
Authorized Official - Last Name:DEUEL-LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-778-2844
Mailing Address - Street 1:225 FRONT ST
Mailing Address - Street 2:
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13905-2474
Mailing Address - Country:US
Mailing Address - Phone:607-778-2844
Mailing Address - Fax:607-778-2864
Practice Address - Street 1:225 FRONT ST
Practice Address - Street 2:
Practice Address - City:BINGHAMTON
Practice Address - State:NY
Practice Address - Zip Code:13905-2474
Practice Address - Country:US
Practice Address - Phone:607-778-2844
Practice Address - Fax:607-778-2864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-13
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency