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Nids Coalition Northern Chapter
General Practice Physician in Black River, New York
NPI 1114178001

Nids Coalition Northern Chapter is a General Practice Physician based in Black River, NY. Nids Coalition Northern Chapter practices in Black River, NY. The NPI Number for Nids Coalition Northern Chapter is 1114178001 and holds a License No. (New York).

The current practice location address for Nids Coalition Northern Chapter is 103 S Main St, Black River, NY and can be reached out via phone at 315-773-5405 and via fax at 315-773-5378.

Location: 103 S Main St, Black River, NY, 13612-2101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114178001
Provider Name
Nids Coalition Northern Chapter
Credential
Provider Entity Type
Organization
Address
103 S Main St, Black River, NY, 13612-2101
Phone Number
315-773-5405
Fax Number
315-773-5378
Provider Enumeration Date
10/09/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
103 S Main St
City
Black River
State
New York
Zip
13612-2101
Phone Number
315-773-5405
Fax Number
315-773-5378
person
Provider Business Mailing Address Details
Address
103 S Main St
City
Black River
State
New York
Zip
13612-2101
Phone Number
315-773-5405
Fax Number
315-773-5378
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
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