Organization
CENTER FOR DISABILITY SERVICES
Active
Organization
CENTER FOR DISABILITY SERVICES
Active
Other names
Day Treatment 6141
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA GOULD (SUPERVISOR OF CREDENTIALING)
(518) 437-5516
Entity
Organization
Contact information
Practice address
6141 STATE FARM RD, GUILDERLAND, NY 12084-9521
(518) 437-5717
Mailing address
314 S MANNING BLVD, ALBANY, NY 12208-1708
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01009681
—
NY
Enumeration date
07/30/2008
Last updated
05/02/2024
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