1154480267 NPI number — ALBANY COUNTY DEPARTMENT FOR CHILDREN YOUTH AND FAMILIES

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1154480267 NPI number — ALBANY COUNTY DEPARTMENT FOR CHILDREN YOUTH AND FAMILIES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALBANY COUNTY DEPARTMENT FOR CHILDREN YOUTH AND FAMILIES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1154480267
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
112 STATE STREET
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ALBANY
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
12207
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
518-447-7500
Provider Business Mailing Address Fax Number:
518-447-7766

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
175 GREEN STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALBANY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12202-2011
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-447-4550
Provider Business Practice Location Address Fax Number:
518-447-2045
Provider Enumeration Date:
12/06/2006

Additional Information

Authorized Official

Authorized Official Last Name:
POOLE
Authorized Official First Name:
SHEILA
Authorized Official Middle Name:
J
Authorized Official Title or Position:
COMMISSIONER
Authorized Official Telephone Number:
518-447-7324

Provider Taxonomy Codes

  • Taxonomy code: 261QM0855X , with the licence number:  7223001A , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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