Provider Demographics
NPI:1043751340
Name:NATIONAL ALLIANCE ON MENTAL ILLNESS-NEW YORK STATE
Entity Type:Organization
Organization Name:NATIONAL ALLIANCE ON MENTAL ILLNESS-NEW YORK STATE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:BURCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-462-2000
Mailing Address - Street 1:99 PINE ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12207-2848
Mailing Address - Country:US
Mailing Address - Phone:518-462-2000
Mailing Address - Fax:
Practice Address - Street 1:99 PINE ST
Practice Address - Street 2:SUITE 105
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12207-2848
Practice Address - Country:US
Practice Address - Phone:518-462-2000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-20
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health