Provider Demographics
NPI:1669626073
Name:ONONDAGA COUNTY HEALTH DEPT.
Entity Type:Organization
Organization Name:ONONDAGA COUNTY HEALTH DEPT.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SCHWAB
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:315-420-5282
Mailing Address - Street 1:501 E FAYETTE ST
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13202-1953
Mailing Address - Country:US
Mailing Address - Phone:315-435-3230
Mailing Address - Fax:315-435-2678
Practice Address - Street 1:501 E FAYETTE ST
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13202-1953
Practice Address - Country:US
Practice Address - Phone:315-435-3230
Practice Address - Fax:315-435-2678
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-12
Last Update Date:2008-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPO207401252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency