Provider Demographics
NPI:1093390874
Name:PATTY-ROY FOUNDATION, INC.
Entity Type:Organization
Organization Name:PATTY-ROY FOUNDATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:H
Authorized Official - Last Name:WASHINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:MS, BS
Authorized Official - Phone:315-749-8026
Mailing Address - Street 1:8480 MCNAMARA DR
Mailing Address - Street 2:
Mailing Address - City:CLAY
Mailing Address - State:NY
Mailing Address - Zip Code:13041-8825
Mailing Address - Country:US
Mailing Address - Phone:315-749-8026
Mailing Address - Fax:
Practice Address - Street 1:8480 MCNAMARA DR
Practice Address - Street 2:
Practice Address - City:CLAY
Practice Address - State:NY
Practice Address - Zip Code:13041-8825
Practice Address - Country:US
Practice Address - Phone:315-749-8026
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-13
Last Update Date:2021-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management