Provider Demographics
NPI:1689039489
Name:OSWEGO COUNTY
Entity Type:Organization
Organization Name:OSWEGO COUNTY
Other - Org Name:OSWEGO COUNTY DEPARTMENT OF HEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF PUBLIC HEALTH
Authorized Official - Prefix:
Authorized Official - First Name:JIANCHENG
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-349-3595
Mailing Address - Street 1:70 BUNNER ST
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:NY
Mailing Address - Zip Code:13126-3357
Mailing Address - Country:US
Mailing Address - Phone:315-349-3547
Mailing Address - Fax:315-349-8431
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:315-349-3547
Practice Address - Fax:315-349-8431
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-21
Last Update Date:2015-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2594L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2594L001OtherSTATE LICENSE