Healthcare Provider Details

I. General information

NPI: 1043334485
Provider Name (Legal Business Name): ALBANY COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 07/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 GREEN STREET
ALBANY NY
12202-2011
US

IV. Provider business mailing address

175 GREEN STREET
ALBANY NY
12202-2011
US

V. Phone/Fax

Practice location:
  • Phone: 518-447-4580
  • Fax: 518-447-4573
Mailing address:
  • Phone: 518-447-4580
  • Fax: 518-447-4573

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number1440L001
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES B CRUCETTI
Title or Position: COMMISSIONER OF HEALTH
Credential: MD, MPH
Phone: 518-447-4695