Provider Demographics
NPI:1841329737
Name:COUNTY OF ONEIDA
Entity type:Organization
Organization Name:COUNTY OF ONEIDA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FSA
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:ENGLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-798-5080
Mailing Address - Street 1:185 GENESEE ST
Mailing Address - Street 2:
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13501-2102
Mailing Address - Country:US
Mailing Address - Phone:315-798-5080
Mailing Address - Fax:315-798-5022
Practice Address - Street 1:406 ELIZABETH ST
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13501-2306
Practice Address - Country:US
Practice Address - Phone:315-798-5747
Practice Address - Fax:315-798-1057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2014-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY127636-1251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00474171Medicaid
NYP00081414OtherPALMETTO GBA - RAILROAD MEDICARE
NYP00081414OtherPALMETTO GBA - RAILROAD MEDICARE