Provider Demographics
NPI:1518580851
Name:SCHUYLER COUNTY CHAPTER, NYSARC, INC.
Entity Type:Organization
Organization Name:SCHUYLER COUNTY CHAPTER, NYSARC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BUB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-535-6934
Mailing Address - Street 1:711 SULLIVAN ST
Mailing Address - Street 2:
Mailing Address - City:ELMIRA
Mailing Address - State:NY
Mailing Address - Zip Code:14901-2322
Mailing Address - Country:US
Mailing Address - Phone:607-535-6934
Mailing Address - Fax:607-535-2666
Practice Address - Street 1:525 LIBERTY ST
Practice Address - Street 2:
Practice Address - City:ELMIRA
Practice Address - State:NY
Practice Address - Zip Code:14904-1517
Practice Address - Country:US
Practice Address - Phone:607-734-6151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-21
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities