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NIDS COALITION NORTHERN CHAPTER
NPI 1114178001
General Practice in Black River, NY

Active since October 09, 2008
103 S MAIN ST, BLACK RIVER, NY 13612(315) 773-5405(315) 773-5378 Get Directions Write a Review

NPPES record last updated: October 9, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Nids Coalition Northern Chapter NPPES

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

NIDS COALITION NORTHERN CHAPTER (NPI 1114178001) is a healthcare organization registered as a general practice in Black River, New York and active in the NPI registry since October 2008. The organization lists Katherine Robertson, Director, as its authorized official.

NPPES Registry Identity

NPI1114178001
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameNIDS COALITION NORTHERN CHAPTER
Location Address103 S MAIN STBlack River, NY 13612-2101
Mailing Address103 S Main StBlack River, NY 13612-2101 · (315) 773-5405 · Fax (315) 773-5378
Phone(315) 773-5405
Fax(315) 773-5378
Organization SubpartNo
Authorized OfficialKatherine RobertsonDirector · (315) 773-5405
Enumeration DateOctober 9, 2008
✔ NPI 1114178001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

103 S MAIN ST, Black River, NY 13612
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Group Practice 1

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

Frequently Asked Questions

What is NIDS COALITION NORTHERN CHAPTER's NPI number?

The NPI number assigned to this healthcare provider is 1114178001, enumerated as an "organization" on October 09, 2008.

Where is the provider located?

The provider is located at 103 S MAIN ST BLACK RIVER, NY 13612 and the phone number is (315) 773-5405.

What is the provider's specialty?

General Practice with taxonomy code 208D00000X.