Healthcare Provider Details

I. General information

NPI: 1356206551
Provider Name (Legal Business Name): MARJORIE DOYLE ROCKWELL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 PASINELLA WAY
COHOES NY
12047-2226
US

IV. Provider business mailing address

18 PASINELLA WAY
COHOES NY
12047-2226
US

V. Phone/Fax

Practice location:
  • Phone: 518-238-4150
  • Fax:
Mailing address:
  • Phone: 518-238-4150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311500000X
TaxonomyAlzheimer Center (Dementia Center)
License Number
License Number State

VIII. Authorized Official

Name: JENNA MALONE
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 518-238-4150