Doctor Name: | NARAIN GOVENDER |
NPI Number: | 1902076185 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 133121-1 |
Business Practice Address: | 2445 State Route 30 Tupper Lake, NY - 129862502 |
Business Phone Number: | 5183594217 |
Business Fax Number: | |
Mailing Address: | Po Box 766, SKANEATELES |
State: | NY |
Postal Code: | 131520766 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/04/2008 |
NPI Last Update Date: | 03/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320600000X |
License Number: | 133121-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
Taxonomy Specialization: | |
Taxonomy Definition: | A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |