Provider Demographics
NPI:1689663155
Name:ESSEX COUNTY TREASURER
Entity Type:Organization
Organization Name:ESSEX COUNTY TREASURER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL ACCOUNT CLERK
Authorized Official - Prefix:MS
Authorized Official - First Name:DOREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ABRAHAMSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-873-3532
Mailing Address - Street 1:132 WATER STREET
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:12932-0217
Mailing Address - Country:US
Mailing Address - Phone:518-873-3500
Mailing Address - Fax:518-873-3539
Practice Address - Street 1:132 WATER ST.
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:NY
Practice Address - Zip Code:12932-0217
Practice Address - Country:US
Practice Address - Phone:518-873-3500
Practice Address - Fax:518-873-3539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-18
Last Update Date:2018-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1521600251E00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00473721Medicaid
NY337118Medicare Oscar/Certification