Organization
COMMUNITY WORK AND INDEPENDENCE, INC.
Active
Other names
Foothills Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK DONAHUE CFO (CFO)
(518) 745-8084
Entity
Organization
Contact information
Practice address
37 EVERTS AVE, GLENS FALLS, NY 12804-2040
(518) 793-4700
(518) 743-1061
Mailing address
PO BOX 303, ACCOUNTING DEPARTMENT, GLENS FALLS, NY 12801-0303
(518) 745-8084
(518) 745-1413
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
02249136
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55375A
MEDICARE PROVIDER TRANSACTION ACCESS NUMBER
NY
Enumeration date
05/10/2007
Last updated
12/16/2008
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