Provider Demographics
NPI:1235677493
Name:COMMUNITY ASSISTANCE OF NY
Entity Type:Organization
Organization Name:COMMUNITY ASSISTANCE OF NY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MARCO
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:ALTIERI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-454-1776
Mailing Address - Street 1:150 N CLINTON AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14604-1148
Mailing Address - Country:US
Mailing Address - Phone:585-454-1776
Mailing Address - Fax:585-454-4266
Practice Address - Street 1:150 N CLINTON AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14604-1148
Practice Address - Country:US
Practice Address - Phone:585-454-1776
Practice Address - Fax:585-454-4266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-08
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Single Specialty