Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

New York Medicaid

Organization Nursing Care Agency · NPI 1972786309

New York Medicaid is a Nursing Care Agency in Auburn, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007

Practice location Address checks out

10 Fourth Ave
Auburn, NY 13021-5106
Phone: (315) 253-7629
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nursing Care Agency (primary) Taxonomy 251J00000X · Licence 137288-1 (NY)

Record details

NPI number1972786309
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Scarselletta — Lpn · (315) 253-7629
NPI enumeratedDecember 7, 2007
Last updated in NPPESDecember 7, 2007
Mailing address10 Fourth Ave, Auburn, NY 13021

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