Organization
EASTER SEALS NEW YORK, INC.
Active
Parent organization
FEDCAP REHABILITATION SERVICES, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FEDCAP REHABILITATION SERVICES, INC
Authorized official
KAREN WEGMANN (CFO)
(212) 727-4214
Entity
Organization
Contact information
Practice address
103 WHITE SPRUCE BLVD, ROCHESTER, NY 14623-1610
(585) 957-5922
Mailing address
633 3RD AVE, 6TH FL, NEW YORK, NY 10017-6706
(212) 727-4200
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
7773002A
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02324418
—
NY
Enumeration date
12/30/2015
Last updated
12/30/2015
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