Healthcare Provider Details

I. General information

NPI: 1205741907
Provider Name (Legal Business Name): LIFESONG INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1536 CRESCENT RD
CLIFTON PARK NY
12065-7729
US

IV. Provider business mailing address

1536 CRESCENT RD BOX #10 PLAZA 8
CLIFTON PARK NY
12065
US

V. Phone/Fax

Practice location:
  • Phone: 518-406-5157
  • Fax: 518-406-5158
Mailing address:
  • Phone: 518-406-5157
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: JILL CATCHPOLE
Title or Position: ASSISTANT EXECUTIVE DIRECTOR
Credential:
Phone: 518-406-5157