Organization
CATHOLIC CHARITIES DISABILITIES SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHLEEN KROM (COMPLIANCE & HIPAA PRIVACY OFFICER)
(518) 453-6650
Entity
Organization
Contact information
Practice address
1 PARK PL STE 100, ALBANY, NY 12205-2620
(518) 783-1111
(518) 785-4894
Mailing address
1 PARK PL STE 100, ALBANY, NY 12205-2620
(518) 783-1111
(518) 785-4894
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
7582441
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01039165
—
NY
Enumeration date
12/11/2006
Last updated
05/31/2022
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