1992244404 NPI number — COUNTY OF CHAUTAUQUA - A MUN CORP

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992244404 NPI number — COUNTY OF CHAUTAUQUA - A MUN CORP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COUNTY OF CHAUTAUQUA - A MUN CORP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1992244404
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5530 SHERIDAN DRIVE, SUITE 3B
Provider Second Line Business Mailing Address:
COUNTY OF CHAUTAUQUA - A MUN CORP
Provider Business Mailing Address City Name:
WILLIAMSVILLE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14221-3730
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
716-204-3350
Provider Business Mailing Address Fax Number:
716-634-7170

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2 ACADEMY STREET, SUITE A
Provider Second Line Business Practice Location Address:
COUNTY OF CHAUTAUQUA - A MUN CORP
Provider Business Practice Location Address City Name:
MAYVILLE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14757-1033
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
716-753-4341
Provider Business Practice Location Address Fax Number:
716-753-4363
Provider Enumeration Date:
02/16/2017

Additional Information

Authorized Official

Authorized Official Last Name:
LEONE
Authorized Official First Name:
JULIUS
Authorized Official Middle Name:
J
Authorized Official Title or Position:
EMERGENCY SERVICES DIRECTOR
Authorized Official Telephone Number:
716-753-4341

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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