Provider Demographics
NPI:1811024102
Name:WYOMING COUNTY COUNTY OF WYOMING
Entity Type:Organization
Organization Name:WYOMING COUNTY COUNTY OF WYOMING
Other - Org Name:MENS & WOMENS HEALTH SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:PUBLIC HEALTH ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:PAOLUCCI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-786-8890
Mailing Address - Street 1:5362 MUNGERS MILL RD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:14550-9704
Mailing Address - Country:US
Mailing Address - Phone:585-786-8881
Mailing Address - Fax:585-786-6064
Practice Address - Street 1:5362 MUNGERS MILL RD
Practice Address - Street 2:
Practice Address - City:SILVER SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:14550-9704
Practice Address - Country:US
Practice Address - Phone:585-786-8881
Practice Address - Fax:585-786-6064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY6027200R251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare