Organization
CENTER FOR DISABILITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA GOULD (SUPERVISOR OF CREDENTIALING)
(518) 437-5516
Entity
Organization
Contact information
Practice address
314 S MANNING BLVD, ALBANY, NY 12208-1708
(518) 437-5717
Mailing address
314 S MANNING BLVD, ALBANY, NY 12208-1708
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
208D00000X
General Practice Physician
Primary
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
02/12/2009
Last updated
05/02/2024
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