Organization
BERKSHIRE FARM CENTER & SERVICES FOR YOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN F. COX JR. (CHIEF FINANCIAL OFFICER)
(518) 781-4567
Entity
Organization
Contact information
Practice address
25 FRANKLIN ST STE 1059, ROCHESTER, NY 14604-1009
(585) 454-1620
(585) 454-6814
Mailing address
13640 STATE ROUTE 22, CANAAN, NY 12029-3504
(518) 781-4567
(518) 781-4566
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02513115
—
NY
05
—
02825845
—
NY
Enumeration date
02/08/2007
Last updated
08/22/2020
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