OrganizationActive
1003 Walnut St Inc
NPI 1740339829 · Psychiatric Hospital · Elmira, NY
Provider details
- NPI number
- 1740339829
- Entity type
- Organization
- Primary specialty
- Psychiatric HospitalHospitals
- Authorized official
- Charlie Jenkins, Program Manager
- License
- 78100018A (NY)
Practice location
1003 Walnut Street
Elmira, NY 14901
Phone: (607) 732-5646
Fax: (607) 732-0373
Mailing address
1003 Walnut Street
Elmira, NY 14901
Registry dates
- Enumerated
- 2007-01-09
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.