Organization
ALBANY COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES B CRUCETTI MD, MPH (COMMISSIONER OF HEALTH)
(518) 447-4695
Entity
Organization
Contact information
Practice address
175 GREEN STREET, ALBANY, NY 12202-2011
(518) 447-4580
(518) 447-4573
Mailing address
175 GREEN STREET, ALBANY, NY 12202-2011
(518) 447-4580
(518) 447-4573
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251E00000X
Home Health Agency
1440L001
NY
252Y00000X
Early Intervention Provider Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00473767
—
NY
Enumeration date
03/19/2007
Last updated
07/25/2012
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