Healthcare Provider Details

I. General information

NPI: 1023281094
Provider Name (Legal Business Name): EARLY CHILDHOOD LEARNING CENTER OF GREENE COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2008
Last Update Date: 04/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2395 ROUTE 23B
SOUTH CAIRO NY
12482
US

IV. Provider business mailing address

PO BOX 399
SOUTH CAIRO NY
12482
US

V. Phone/Fax

Practice location:
  • Phone: 518-622-8382
  • Fax: 518-622-2531
Mailing address:
  • Phone: 518-622-8382
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. BEATRICE D. REIS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 518-622-8382