Provider Demographics
NPI:1386774909
Name:ESSEX COUNTY TREASURER
Entity type:Organization
Organization Name:ESSEX COUNTY TREASURER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL ACCOUNT CLERK
Authorized Official - Prefix:MS
Authorized Official - First Name:DOREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ABRAHAMSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-873-3532
Mailing Address - Street 1:132 WATER STREET
Mailing Address - Street 2:PO BOX 217
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:12932-2502
Mailing Address - Country:US
Mailing Address - Phone:518-873-3503
Mailing Address - Fax:518-873-3507
Practice Address - Street 1:132 WATER STREET
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:NY
Practice Address - Zip Code:12932-2502
Practice Address - Country:US
Practice Address - Phone:518-873-3503
Practice Address - Fax:518-873-3507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2017-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No251300000XAgenciesLocal Education Agency (LEA)
No251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00473487Medicaid
NY00473487Medicaid