Nids Coalition Northern Chapter
Nids Coalition Northern Chapter is a General Practice Physician in Black River, New York. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
103 S Main StBlack River, NY 13612-2101
Phone: (315) 773-5405
Fax: (315) 773-5378
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X |
|---|
Record details
| NPI number | 1114178001 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Katherine Robertson — Director · (315) 773-5405 |
| NPI enumerated | October 9, 2008 |
| Last updated in NPPES | October 9, 2008 |
| Mailing address | 103 S Main St, Black River, NY 13612-2101 |