Organization
CAPITAL DISTRICT BEGINNINGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER EVAYLN BASSETT MA ED (SPECIAL EDUCATOR)
(518) 854-2016
Entity
Organization
Contact information
Practice address
673 COLUMBIA TURNPIKE, EAST GREENBUSH, NY 12061
(518) 233-0544
(518) 992-3545
Mailing address
105 EAST BROADWAY, PO BOX 100, SALEM, NY 12865
(518) 854-2016
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
17440000
NY
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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