Provider Demographics
NPI:1659485480
Name:ESSEX COUNTY TREASURER
Entity Type:Organization
Organization Name:ESSEX COUNTY TREASURER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCIAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GANTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-873-3670
Mailing Address - Street 1:PO BOX 8
Mailing Address - Street 2:7513 COURT STREET
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:12932-0008
Mailing Address - Country:US
Mailing Address - Phone:518-873-3670
Mailing Address - Fax:518-873-3777
Practice Address - Street 1:7513 COURT STREET
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:NY
Practice Address - Zip Code:12932-0008
Practice Address - Country:US
Practice Address - Phone:518-873-3670
Practice Address - Fax:518-873-3777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-18
Last Update Date:2017-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY03B0321101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00565040Medicaid
W9791OtherEMPIRE BC BS
12898OtherCOMMUNITY BLUE
040816000028OtherFIDELIS FACETS ID #
148543OtherVALUE OPTIONS
3189393OtherGHI
Y016787OtherTRICARE
38016AMedicare ID - Type UnspecifiedGROUP NUMBER