Healthcare Provider Details

I. General information

NPI: 1427913789
Provider Name (Legal Business Name): BEVERWYCK, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 BEVERWYCK LN
SLINGERLANDS NY
12159-9315
US

IV. Provider business mailing address

41 BEVERWYCK LN
SLINGERLANDS NY
12159-9315
US

V. Phone/Fax

Practice location:
  • Phone: 518-451-2107
  • Fax:
Mailing address:
  • Phone: 518-451-2107
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: PAULA KALAMEJSKI
Title or Position: EXECUTIVE DIRECTOR
Credential: LNHA
Phone: 518-857-4122