Healthcare Provider Details

I. General information

NPI: 1700021052
Provider Name (Legal Business Name): AFEC SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2008
Last Update Date: 10/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 CIMARRON RD
PUTNAM VALLEY NY
10579-1807
US

IV. Provider business mailing address

33 CIMARRON ROAD
PUTNAM VALLEY NY
10579-0913
US

V. Phone/Fax

Practice location:
  • Phone: 914-589-5142
  • Fax: 845-603-6591
Mailing address:
  • Phone: 914-589-5142
  • Fax: 845-603-6591

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. REGINA C. FILANNINO
Title or Position: PRESIDENT
Credential:
Phone: 914-589-5142