DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: BALLSTON SPA CENTRAL

MEDICARE: BALLSTON SPA CENTRAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251300000XLocal Education Agency (LEA)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659437630
Entity Type Code : Organization
Provider Name (Legal Business Name) : BALLSTON SPA CENTRAL
Provider Business Mailing Address
First Line : 70 MALTA AVE
Second Line :
City : BALLSTON SPA
State : NY
Zip : 12020-1529
Country : US
Telephone Number : 518-884-7195
Fax Number : 518-884-7101
Provider Business Practice Location Address
First Line : 70 MALTA AVE
Second Line :
City : BALLSTON SPA
State : NY
Zip : 12020-1529
Country : US
Telephone Number : 518-884-7195
Fax Number : 518-884-7101
Authorized Official
Title or Position : ASST. SUP. OF BUS.
Name : MR. BRIAN SIRIANNI
Credential :
Telephone Number : 518-884-7195
Provider Enumeration Date : 12/28/2006
Last Update Date : 03/23/2015

Similar Medicare Providers

1629370242 — MRS. MEGAN A WHIPPLE RN
Practice Location Address:
70 MALTA AVE
BALLSTON SPA, NY
12020-1529
Practice Phone: 518-884-7195
Practice Fax:
1699077214 — MRS. KATHLEEN L BEERS RN
Practice Location Address:
70 MALTA AVE
BALLSTON SPA, NY
12020-1529
Practice Phone: 518-884-7290
Practice Fax: 518-884-7286
1710280052 — MRS. TAMMY RAE ANDERSON RN
Practice Location Address:
70 MALTA AVE
BALLSTON SPA, NY
12020-1529
Practice Phone: 518-882-7290
Practice Fax: 518-884-7286
1457657066 — MS. JANA MILLER M.S.
Practice Location Address:
70 MALTA AVE
BALLSTON SPA, NY
12020-1529
Practice Phone: 518-884-7290
Practice Fax: 518-884-7286
1538410642 — MRS. ELIZABETH MARZANO RN
Practice Location Address:
70 MALTA AVE
BALLSTON SPA, NY
12020-1529
Practice Phone: 518-893-0397
Practice Fax:
1487267092 — MICHAEL C MAYO OTR/L
Practice Location Address:
70 MALTA AVE
BALLSTON SPA, NY
12020-1529
Practice Phone: 518-884-7250
Practice Fax:

Directions to “BALLSTON SPA CENTRAL ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.