NPI Code Details Logo

NPI 1043751340

NPI 1043751340 : NATIONAL ALLIANCE ON MENTAL ILLNESS-NEW YORK STATE : ALBANY, NY

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1043751340
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    NATIONAL ALLIANCE ON MENTAL ILLNESS-NEW YORK STATE 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/20/2017
-----------------------------------------------------
    Last Update Date     |    03/20/2017
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    99 PINE ST SUITE 105
-----------------------------------------------------
    City                 |    ALBANY
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    12207-2848
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    518-462-2000
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    99 PINE ST SUITE 105
-----------------------------------------------------
    City                 |    ALBANY
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    12207-2848
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    518-462-2000
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    EXECUTIVE DIRECTOR
-----------------------------------------------------
    Name                 |    MS. WENDY  BURCH 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    518-462-2000
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251S00000X
-----------------------------------------------------
    Taxonomy Name        |    Community/Behavioral Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.