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New York State Health Care Reform Act (HCRA)

KEY

Suffix	Description
L	Laboratory
E	Extension Clinic

Affiliations for PFI# 6990 OLOL SB MOBILE DENTAL VAN
As of April 1, 2013

Opcert	Name	Address	City	State	Zip
0301001H	OUR LADY OF LOURDES MEMORIAL HOSPITAL INC	169 RIVERSIDE DRIVE	BINGHAMTON	NY	13905