Provider Demographics
NPI:1093163313
Name:CAREERS FOR PEOPLE WITH DISABILITIES, INC
Entity Type:Organization
Organization Name:CAREERS FOR PEOPLE WITH DISABILITIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:A
Authorized Official - Last Name:CORNISH-LAURIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-741-8500
Mailing Address - Street 1:401 COLUMBUS AVENUE
Mailing Address - Street 2:
Mailing Address - City:VALHALLA
Mailing Address - State:NY
Mailing Address - Zip Code:10595
Mailing Address - Country:US
Mailing Address - Phone:914-741-8500
Mailing Address - Fax:914-741-6865
Practice Address - Street 1:401 COLUMBUS AVENUE
Practice Address - Street 2:
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595
Practice Address - Country:US
Practice Address - Phone:914-741-8500
Practice Address - Fax:914-741-6865
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-26
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03609721Medicaid