Provider Demographics
NPI:1285745349
Name:COUNTY OF GREENE
Entity type:Organization
Organization Name:COUNTY OF GREENE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERIM DIRECTOR OF PUBLIC HEALTH
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:KAPLAN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, RN
Authorized Official - Phone:518-719-3630
Mailing Address - Street 1:411 MAIN ST FL 3
Mailing Address - Street 2:
Mailing Address - City:CATSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12414-1363
Mailing Address - Country:US
Mailing Address - Phone:518-719-3600
Mailing Address - Fax:518-719-3799
Practice Address - Street 1:411 MAIN ST FL 3
Practice Address - Street 2:
Practice Address - City:CATSKILL
Practice Address - State:NY
Practice Address - Zip Code:12414-1363
Practice Address - Country:US
Practice Address - Phone:518-719-3600
Practice Address - Fax:518-719-3799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2015-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2169L001251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY004394OtherEMPIRE BLUE CROSS BLUE SHIELD
NY114927OtherWELLCARE
NYP00475518OtherMEDICARE B RR
NY000400508001OtherBSNENY SR BLUE
NY040401000521OtherFIDELIS CARE
NY10002875-H874OtherCDPHP
NY56378OtherMVP
004394OtherEMPIRE BC BS
NY03225096Medicaid
NY2283849OtherAETNA
NYWZZYW1OtherMEDICARE B