| Organization Name: | ULSTER CORRECTIONAL FACILITY |
| NPI Number: | 1871985127 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHERIF MAKRAM (HEALTH SERVISE DIRECTOR) |
| Mailing Address: | 750 Berme Rd Napanoch |
| State: | NY US |
| Postal Code: | 124582709 |
| Phone Number: | 8456471670 |
| Fax Number: | |
| NPI Enumeration Date: | 02/24/2015 |
| NPI Last Update Date: | 02/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 008434 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |