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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 Agency7560420NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487649471
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 : DIRECTOR OF FINANCE
Name : DONALD HILFIGER
Credential :
Telephone Number : 607-734-2006
Provider Enumeration Date : 09/15/2005
Last Update Date : 08/22/2020

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