Organization
SUNY PLATTSBURGH NYSACAC DAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAHIR ZANDI PH.D. (DIRECTOR)
(518) 564-3377
Entity
Organization
Contact information
Practice address
101 BROAD ST, SPONSORED RESEARCH, PLATTSBURGH, NY 12901-2637
(518) 564-3137
(518) 564-3397
Mailing address
101 BROAD ST, SPONSORED RESEARCH, PLATTSBURGH, NY 12901-2637
(518) 564-3137
(518) 564-3397
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02703542
—
NY
Enumeration date
12/11/2006
Last updated
08/13/2008
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