Organization
CARVER COMMUNITY CENTER OF SCHENECTADY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. A.C. MAZUREK (EXECUTIVE DIRECTOR)
(518) 374-8456
Entity
Organization
Contact information
Practice address
846 STATE STREET, SCHENECTADY, NY 12307
(518) 382-7838
(518) 382-1641
Mailing address
700 CRAIG STREET, SCHENECTADY, NY 12307
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01538123
—
NY
Enumeration date
10/03/2006
Last updated
08/22/2020
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