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Organization

KERRY COONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KERRY L COONS COTA/L (COTA)
(518) 320-6386
Entity
Organization

Contact information

Practice address
481 BRADFORD RD, SCHENECTADY, NY 12304-3721
(518) 320-6386
Mailing address
481 BRADFORD RD, SCHENECTADY, NY 12304
(518) 320-6386

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
009065-1
NY

Other

Enumeration date
03/15/2017
Last updated
03/15/2017
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