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Organization

ACHIEVEMENTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES CALLISTER (DIRECTOR)
(518) 782-1178
Entity
Organization

Contact information

Practice address
623 NEW LOUDON RD, LATHAM, NY 12110-4031
(518) 782-1178
Mailing address
125 COUNTRY WALK RD, SCHENECTADY, NY 12306-6710

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
740268131
NY

Other

Enumeration date
03/13/2014
Last updated
03/13/2014
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