Organization
FIVE PS
Active
Organization
FIVE PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YUSEFF PARRIS (OWNER)
(718) 737-2450
Entity
Organization
Contact information
Practice address
1072 PARKWOOD BLVD # 3, SCHENECTADY, NY 12308-2902
(718) 737-2450
Mailing address
1072 PARKWOOD BLVD # 3, SCHENECTADY, NY 12308-2902
(718) 737-2450
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
174200000X
Meals Provider
—
—
251B00000X
Case Management Agency
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
261Q00000X
Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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