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NPI Code Detail

MEDICARE: CAPABILITIES, INC.

MEDICARE: CAPABILITIES, INC.
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
1251C00000XDevelopmentally Disabled Services Day Training AgencyNY
2251S00000XCommunity/Behavioral Health AgencyNY

Other Identifiers

General Provider Information

NPI Number : 1285089003
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAPABILITIES, INC.
Provider Business Mailing Address
First Line : 1149 SULLIVAN ST
Second Line :
City : ELMIRA
State : NY
Zip : 14901-1670
Country : US
Telephone Number : 607-734-2006
Fax Number : 607-734-1514
Provider Business Practice Location Address
First Line : 1149 SULLIVAN ST
Second Line :
City : ELMIRA
State : NY
Zip : 14901-1670
Country : US
Telephone Number : 607-734-2006
Fax Number : 607-734-1514
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : AJ KIRCHER
Credential :
Telephone Number : 607-734-2006
Provider Enumeration Date : 04/29/2016
Last Update Date : 04/29/2016

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