Basic Information
| Provider Information | |||||||||
| NPI: | 1083717474 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | A.O. FOX MEMORIAL HOSPITAL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 NORTON AVE | ||||||||
| Address2: | |||||||||
| City: | ONEONTA | ||||||||
| State: | NY | ||||||||
| PostalCode: | 138202629 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6074315900 | ||||||||
| FaxNumber: | 6074315723 | ||||||||
| Practice Location | |||||||||
| Address1: | 1 NORTON AVE | ||||||||
| Address2: | |||||||||
| City: | ONEONTA | ||||||||
| State: | NY | ||||||||
| PostalCode: | 138202629 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6074315900 | ||||||||
| FaxNumber: | 6074315723 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/07/2006 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| AuthorizedOfficialLastName: | WRIGHT | ||||||||
| AuthorizedOfficialFirstName: | MARK | ||||||||
| AuthorizedOfficialMiddleName: | J | ||||||||
| AuthorizedOfficialTitleorPosition: | CFO | ||||||||
| AuthorizedOfficialTelephone: | 6074315900 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 273R00000X | 0739 | NY | Y | Hospital Units | Psychiatric Unit |
No ID Information.