MEDICARE: ASTOR SERVICES FOR CHILDREN & FAMILIES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	252Y00000X	Early Intervention Provider Agency	311994-1	NY

General Provider Information

NPI Number	:	1023412962
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASTOR SERVICES FOR CHILDREN & FAMILIES

Provider Business Mailing Address
First Line	:	6339 MILL ST
Second Line	:
City	:	RHINEBECK
State	:	NY
Zip	:	12572-1427
Country	:	US
Telephone Number	:	845-416-4275
Fax Number	:

Provider Business Practice Location Address
First Line	:	6339 MILL STREET
Second Line	:
City	:	RHINEBECK
State	:	NY
Zip	:	12572-5005
Country	:	US
Telephone Number	:	845-871-1000
Fax Number	:	845-876-2020

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	NANCY SANTIAGO
Credential	:
Telephone Number	:	845-416-4275

Provider Enumeration Date	:	10/21/2014
Last Update Date	:	03/11/2021

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