Organization
FAMILY FIRST NEW YORK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA MARIE RICKS (VICE PRESIDENT)
(585) 317-9230
Entity
Organization
Contact information
Practice address
111 N CHESTNUT ST, ROCHESTER, NY 14604-1441
(585) 802-2495
Mailing address
111 N CHESTNUT ST, ROCHESTER, NY 14604-1441
(585) 802-2495
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
8606365
NY
251C00000X
Developmentally Disabled Services Day Training Agency
8606365
NY
251V00000X
Voluntary or Charitable Agency
8606365
NY
Other
Enumeration date
11/17/2012
Last updated
01/22/2015
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