Healthcare Provider Details

I. General information

NPI: 1063776144
Provider Name (Legal Business Name): ALBANY SCHENECTADY GREENE COUNTY AGRICULTURAL AND HISTORICAL SOCIETIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2012
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

129 GRAND ST
ALTAMONT NY
12009
US

IV. Provider business mailing address

PO BOX 535
BALDWINSVILLE NY
13027-0535
US

V. Phone/Fax

Practice location:
  • Phone: 518-861-6671
  • Fax:
Mailing address:
  • Phone: 315-635-1789
  • Fax: 315-635-3289

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number30087
License Number StateNY

VIII. Authorized Official

Name: WILLARD J. SCHULTZ
Title or Position: VICE PRESIDENT
Credential:
Phone: 518-861-6671