Provider Demographics
NPI:1225245210
Name:FAMILY & CHILD SERVICE OF SCHENECTADY, INC.
Entity Type:Organization
Organization Name:FAMILY & CHILD SERVICE OF SCHENECTADY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:VANZETTA
Authorized Official - Suffix:
Authorized Official - Credentials:CSW
Authorized Official - Phone:518-393-1369
Mailing Address - Street 1:246 UNION ST
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12305-1406
Mailing Address - Country:US
Mailing Address - Phone:518-393-1369
Mailing Address - Fax:518-393-3601
Practice Address - Street 1:246 UNION ST
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12305-1406
Practice Address - Country:US
Practice Address - Phone:518-393-1369
Practice Address - Fax:518-393-3601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2011-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00555871Medicaid