Organization
DEPAUL DEVELOPMENTAL SERVICES ATI
Active
Organization
DEPAUL DEVELOPMENTAL SERVICES ATI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIM WHALEN (VICE PRESIDENT OF FINANCE)
(585) 426-8000
Entity
Organization
Contact information
Practice address
1931 BUFFALO RD, ROCHESTER, NY 14624-1535
(585) 426-8000
Mailing address
1931 BUFFALO RD, ROCHESTER, NY 14624-1535
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01944590
—
NY
05
—
02004479
—
NY
05
—
02044008
—
NY
05
—
02593819
—
NY
05
—
02725111
—
NY
05
—
02734554
—
NY
05
—
02734605
—
NY
05
—
02734614
—
NY
Enumeration date
11/20/2006
Last updated
08/22/2020
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