Provider Demographics
NPI:1851732069
Name:BASSETT HEALTHCARE ONEONTA
Entity Type:Organization
Organization Name:BASSETT HEALTHCARE ONEONTA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE VICE PRESIDENT/FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:NICOLETTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-547-3635
Mailing Address - Street 1:1 ATWELL RD
Mailing Address - Street 2:
Mailing Address - City:COOPERSTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:13326-1301
Mailing Address - Country:US
Mailing Address - Phone:607-547-3456
Mailing Address - Fax:
Practice Address - Street 1:125 MAIN ST
Practice Address - Street 2:
Practice Address - City:ONEONTA
Practice Address - State:NY
Practice Address - Zip Code:13820-2507
Practice Address - Country:US
Practice Address - Phone:607-547-3456
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MARY IMOGENE BASSETT HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-07-16
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY330136Medicare Oscar/Certification