Healthcare Provider Details

I. General information

NPI: 1801093265
Provider Name (Legal Business Name): COHOES MULTI-SERVICE SENIOR CITIZENS CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2007
Last Update Date: 10/30/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 CAYUGA PLAZA
COHOES NY
12047
US

IV. Provider business mailing address

10 CAYUGA PLAZA
COHOES NY
12047
US

V. Phone/Fax

Practice location:
  • Phone: 518-235-2420
  • Fax: 518-235-1624
Mailing address:
  • Phone: 518-235-2420
  • Fax: 518-235-1624

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347B00000X
TaxonomyBus
License Number
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code347B00000X
TaxonomyBus
License Number
License Number State

VIII. Authorized Official

Name: KEITH HORNBROOK
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 518-235-2420