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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