Healthcare Provider Details

I. General information

NPI: 1982674917
Provider Name (Legal Business Name): NEW DIMENSIONS IN LIVING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2006
Last Update Date: 01/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 WALL ST NEW DIMENSIONS IN HEALTH CARE
AMSTERDAM NY
12010
US

IV. Provider business mailing address

40 WALL ST NEW DIMENSIONS IN HEALTH CARE
AMSTERDAM NY
12010
US

V. Phone/Fax

Practice location:
  • Phone: 518-843-2575
  • Fax: 518-843-3255
Mailing address:
  • Phone: 518-843-2575
  • Fax: 518-843-3255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL DECKER
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 518-954-3213