Healthcare Provider Details
I. General information
NPI: 1457451858
Provider Name (Legal Business Name): ABILITIES FIRST, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/25/2006
Last Update Date: 06/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
70 OVEROCKER RD
POUGHKEEPSIE NY
12603-2035
US
IV. Provider business mailing address
70 OVEROCKER ROAD
POUGHKEEPSIE NY
12603
US
V. Phone/Fax
- Phone: 845-485-9803
- Fax:
- Phone: 845-485-9803
- Fax: 845-485-5234
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251V00000X |
| Taxonomy | Voluntary or Charitable Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 252Y00000X |
| Taxonomy | Early Intervention Provider Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
KIM
RYDER
Title or Position: CONTROLLER
Credential:
Phone: 845-485-9803