ECONOMIC OPPORTUNITY PROGRAM NPI 1770793341

NPI Information

NPI: 1770793341
Provider Name: ECONOMIC OPPORTUNITY PROGRAM
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
350 BALDWIN ST.
ELMIRA, NY
ZIP 14901
Phone: (607) 734-6174
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ECONOMIC OPPORTUNITY PROGRAM is an addiction (substance use disorder) counselor in Elmira, NY. ECONOMIC OPPORTUNITY PROGRAM NPI is 1770793341. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

350 BALDWIN ST.
ELMIRA, NY
ZIP 14901
Phone: (607) 734-6174

The provider's authorized official is Maryann Bryant .
The authorized official title is Family Development Deputy Director and has the following contact phone number (607) 734-6174.

The enumeration date for this NPI number is 5/23/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)		NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00689661	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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