Organization · Type 2 NPI

State of New York

Intellectual Disabilities Intermediate Care Facility · Schenectady, NY

NPI number 1750420501 Active

Practice location

Balltown & Consaul Rds
Schenectady, NY 12304

Mailing address

44 Holland Ave, 5th Floor Central Operations
Albany, NY 12229-0001

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XOMRDD236 (NY)

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

About NPI 1750420501

State of New York's National Provider Identifier is 1750420501, issued on Feb 6, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Schenectady, NY. The record was last updated on Jun 25, 2008.