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TRI COUNTY FAMILY HEALTH AND ADULT HEALTH NP SERVICES
NPI 1053089516
Nurse Practitioner - Family in Afton, NY

Active since August 31, 2021CLIA 33D2237732 · Waiver
204 COUNTY ROAD 39, AFTON, NY 13730(607) 208-4284(607) 900-3336 Get Directions Write a Review

NPPES record last updated: October 26, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tri County Family Health And Adult Health Np Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRI COUNTY FAMILY HEALTH AND ADULT HEALTH NP SERVICES (NPI 1053089516) is a healthcare organization registered as a family in Afton, New York and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through September 27, 2027 and lists Joseph John Brennan, Np, as its authorized official.

NPPES Registry Identity

NPI1053089516
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameTRI COUNTY FAMILY HEALTH AND ADULT HEALTH NP SERVICES
Location Address204 COUNTY ROAD 39Afton, NY 13730-2252
Mailing Address204 County Road 39Afton, NY 13730-2252 · (607) 208-4284 · Fax (607) 900-3336
Phone(607) 208-4284
Fax(607) 900-3336
Organization SubpartNo
Authorized OfficialJoseph John BrennanNp · (607) 208-4284
Enumeration DateAugust 31, 2021
Last NPPES UpdateOctober 26, 2021
NPPES CertifiedOctober 26, 2021
✔ NPI 1053089516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
204 COUNTY ROAD 39, Afton, NY 13730
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Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2237732

Tri County Family Health And Adult Health Np Services · Afton, NY
Active · expires Sep 27, 2027
CLIA Number33D2237732
Laboratory TypePractitioner Other
Certificate Effective DateSeptember 28, 2025
Certificate Expiration DateSeptember 27, 2027
Laboratory DirectorMr. David G. Hochman
Laboratory Phone(607) 208-4284
Laboratory LocationTri County Family Health And Adult Health Np Services204 County Road 39, Afton, NY 13730
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID GORDON HOCHMAN NP
Nurse Practitioner (Family)
204 COUNTY ROAD 39
AFTON, NY 13730
Chenango County (607) 621-3826
MR. JOSEPH J BRENNAN DNP, MBA
Nurse Practitioner (Adult Health)
204 COUNTY ROAD 39
AFTON, NY 13730
Chenango County (607) 208-4284

Frequently Asked Questions

What is TRI COUNTY FAMILY HEALTH AND ADULT HEALTH NP SERVICES's NPI number?

The NPI number assigned to this healthcare provider is 1053089516, enumerated as an "organization" on August 31, 2021.

Where is the provider located?

The provider is located at 204 COUNTY ROAD 39 AFTON, NY 13730 and the phone number is (607) 208-4284.

What is the provider's specialty?

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.