Provider Demographics
NPI:1801266903
Name:SCHOHARIE COUNTY
Entity type:Organization
Organization Name:SCHOHARIE COUNTY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PUBLIC HEALTH
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:GILDEMEISTER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:518-295-8365
Mailing Address - Street 1:284 MAIN ST.
Mailing Address - Street 2:PO BOX 667
Mailing Address - City:SCHOHARIE
Mailing Address - State:NY
Mailing Address - Zip Code:12157
Mailing Address - Country:US
Mailing Address - Phone:518-295-8365
Mailing Address - Fax:518-295-8786
Practice Address - Street 1:284 MAIN ST.
Practice Address - Street 2:
Practice Address - City:SCHOHARIE
Practice Address - State:NY
Practice Address - Zip Code:12157
Practice Address - Country:US
Practice Address - Phone:518-295-8365
Practice Address - Fax:518-295-8786
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-01
Last Update Date:2015-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4724200R261QP0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local