Whalio Doctors

NPI 1043519986

Jefferson Rehabilitation Center

Organisation Early Intervention Provider Agency Watertown, NY

Practice location

Address
420 Gaffney Dr, Watertown, NY 13601-1823
Phone
(315) 788-2730
Fax
(315) 788-8557

Authorised official

Name
Howard Ganter
Title
Executive Director
Phone
(315) 788-2730

Registered specialties

Early Intervention Provider Agency Primary
Agencies Taxonomy 252Y00000X Licence 016569-1 (NY)

Registry record

NPI
1043519986
Entity type
Organization
NPI issued
17 Mar 2011
Record last updated
17 Mar 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.