Provider Demographics
NPI:1164467007
Name:NYSARC INC. ULSTER, GREENE, PUTNAM COUNTIES CHAPTER
Entity Type:Organization
Organization Name:NYSARC INC. ULSTER, GREENE, PUTNAM COUNTIES CHAPTER
Other - Org Name:THE ARC MID-HUDSON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:LYN
Authorized Official - Last Name:SADOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-331-4300
Mailing Address - Street 1:471 ALBANY AVE
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401-2138
Mailing Address - Country:US
Mailing Address - Phone:845-331-4300
Mailing Address - Fax:845-331-4931
Practice Address - Street 1:139 CORNELL ST
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-3633
Practice Address - Country:US
Practice Address - Phone:845-338-1234
Practice Address - Fax:845-338-6284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-17
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6177311OtherOPERATING CERTIFICATE