Healthcare Provider Details

I. General information

NPI: 1881003358
Provider Name (Legal Business Name): COLONIE SENIOR SERVICE CENTERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2014
Last Update Date: 08/08/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 WINNERS CIR
ALBANY NY
12205-1155
US

IV. Provider business mailing address

6 WINNERS CIR
ALBANY NY
12205-1155
US

V. Phone/Fax

Practice location:
  • Phone: 518-459-2857
  • Fax: 518-459-2062
Mailing address:
  • Phone: 518-459-2857
  • Fax: 518-459-2062

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State

VIII. Authorized Official

Name: NANCY JONES
Title or Position: FINANCE DIRECTOR
Credential:
Phone: 518-459-2857