Healthcare Provider Details

I. General information

NPI: 1043131246
Provider Name (Legal Business Name): MASSRY RESIDENCE AT DAUGHTERS OF SARAH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

182 WASHINGTON AVENUE EXT
ALBANY NY
12203-5391
US

IV. Provider business mailing address

182 WASHINGTON AVENUE EXT
ALBANY NY
12203-5391
US

V. Phone/Fax

Practice location:
  • Phone: 518-724-3400
  • Fax: 518-689-0454
Mailing address:
  • Phone: 518-724-3400
  • Fax: 518-689-0454

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State

VIII. Authorized Official

Name: COLLEEN A VINCENT
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 518-724-3400