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Organization
EASTER SEALS NEW YORK, INC
Active
Organization
EASTER SEALS NEW YORK, INC
Active
Parent organization
FEDCAP REHABILITATION SERVICES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
FEDCAP REHABILITATION SERVICES, INC.
Authorized official
KAREN WEGMANN (CHIEF FINANCIAL OFFICER)
(212) 727-4214
Entity
Organization
Contact information
Practice address
103 WHITE SPRUCE BLVD, ROCHESTER, NY 14623-1610
(585) 292-5830
(585) 292-5847
Mailing address
633 THIRD AVE, 6TH FLOOR, NEW YORK, NY 10017
(212) 727-4200
(212) 727-4374
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
2701234R
NY
261QM0850X
Adult Mental Health Clinic/Center
7773002A
NY
261QM0855X
Adolescent and Children Mental Health Clinic/Center
7773002A
NY
261QM1300X
Multi-Specialty Clinic/Center
2701234R
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02324418
—
NY
Enumeration date
07/15/2006
Last updated
03/04/2016
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