Healthcare Provider Details

I. General information

NPI: 1902050396
Provider Name (Legal Business Name): THE COLLEGE OF SAINT ROSE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2008
Last Update Date: 11/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

432 WESTERN AVE
ALBANY NY
12203-1419
US

IV. Provider business mailing address

432 WESTERN AVE
ALBANY NY
12203-1419
US

V. Phone/Fax

Practice location:
  • Phone: 518-454-5263
  • Fax: 518-337-2313
Mailing address:
  • Phone: 518-454-5263
  • Fax: 518-337-2313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. KIM LAMPARELLI
Title or Position: DIRECTOR OF CLINICAL SERVICES
Credential: M.S., CCC-SLP
Phone: 518-454-5263