Healthcare Provider Details

I. General information

NPI: 1689741928
Provider Name (Legal Business Name): ST. MARGARETS DAYLIGHT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27 HACKETT BLVD
ALBANY NY
12208-3420
US

IV. Provider business mailing address

314 S MANNING BLVD
ALBANY NY
12208-1708
US

V. Phone/Fax

Practice location:
  • Phone: 518-591-3000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number01978867
License Number StateNY

VIII. Authorized Official

Name: GREGORY SORRENTINO
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 518-463-0832