# KERRY COONS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548701154
- **Authorized official:** KERRY L COONS COTA/L (COTA)
- **Authorized official phone:** (518) 320-6386

## Contact information

- **Practice address:** 481 BRADFORD RD, SCHENECTADY, NY 12304-3721
- **Practice address phone:** (518) 320-6386
- **Mailing address:** 481 BRADFORD RD, SCHENECTADY, NY 12304
- **Mailing address phone:** (518) 320-6386

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 009065-1 | NY | Yes |

## Other

- **Enumeration date:** 03/15/2017
- **Last updated:** 03/15/2017