Organization
NYSARC INC COLUMBIA COUNTY CHAPTER
Active
Other names
COARC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH R STALL (EXECUTIVE DIRECTOR)
(518) 672-4451
Entity
Organization
Contact information
Practice address
2661 RAVISH RD, HUDSON, NY 12534-1026
(518) 672-4451
(518) 672-0187
Mailing address
PO BOX 2, MELLENVILLE, NY 12544-0002
(518) 672-4451
(518) 672-0187
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01012995
—
NY
Enumeration date
01/04/2007
Last updated
08/22/2020
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