Healthcare Provider Details

I. General information

NPI: 1518861814
Provider Name (Legal Business Name): DISABLED PERSONS ACTION ORGANIZATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

617 DAVIDSON ST
WATERTOWN NY
13601-1480
US

IV. Provider business mailing address

617 DAVIDSON ST
WATERTOWN NY
13601-1480
US

V. Phone/Fax

Practice location:
  • Phone: 315-782-3577
  • Fax:
Mailing address:
  • Phone: 315-782-3577
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number StateNULL

VIII. Authorized Official

Name: MEGHAN BERTRAM
Title or Position: FINANCIAL DIRECTOR
Credential:
Phone: 315-782-3577