Organization
ALBANY COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CANDACE ADAMS GROSSJOHANN PH.D. (EARLY INTERVENTION OFFICIAL)
(518) 447-4820
Entity
Organization
Contact information
Practice address
112 STATE ST, SUITE 300, ALBANY, NY 12207-2005
(518) 447-4820
(518) 447-4855
Mailing address
112 STATE ST, SUITE 300, ALBANY, NY 12207-2005
(518) 447-4820
(518) 447-4855
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00473616
—
NY
Enumeration date
03/21/2007
Last updated
08/22/2020
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