Provider Demographics
NPI:1003043365
Name:NYSARC INC FULTON COUNTY CHAPTER
Entity Type:Organization
Organization Name:NYSARC INC FULTON COUNTY CHAPTER
Other - Org Name:LEXINGTON CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:T
Authorized Official - Last Name:KUZNIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-773-7931
Mailing Address - Street 1:127 E STATE ST
Mailing Address - Street 2:
Mailing Address - City:GLOVERSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12078-1204
Mailing Address - Country:US
Mailing Address - Phone:518-773-7931
Mailing Address - Fax:518-725-2850
Practice Address - Street 1:127 E STATE ST
Practice Address - Street 2:
Practice Address - City:GLOVERSVILLE
Practice Address - State:NY
Practice Address - Zip Code:12078-1204
Practice Address - Country:US
Practice Address - Phone:518-773-7931
Practice Address - Fax:518-725-2850
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NYSARC INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-06-15
Last Update Date:2013-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency