Healthcare Provider Details

I. General information

NPI: 1861637019
Provider Name (Legal Business Name): EARLY CHILDHOOD EDUCATION CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2008
Last Update Date: 12/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 WASHINGTON AVENUE EXT
ALBANY NY
12203-5390
US

IV. Provider business mailing address

230 WASHINGTON AVENUE EXT
ALBANY NY
12203-5390
US

V. Phone/Fax

Practice location:
  • Phone: 518-456-3268
  • Fax: 518-464-1469
Mailing address:
  • Phone: 518-456-3268
  • Fax: 518-464-1469

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number StateNY

VIII. Authorized Official

Name: MS. NANCY D. LAROCCA
Title or Position: DIRECTOR
Credential:
Phone: 518-456-3268