Provider Demographics
NPI:1275806325
Name:ENERGY WORKS CENTER OF AUBURN INC.
Entity Type:Organization
Organization Name:ENERGY WORKS CENTER OF AUBURN INC.
Other - Org Name:THE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:GIACONA
Authorized Official - Suffix:
Authorized Official - Credentials:THM
Authorized Official - Phone:315-704-0319
Mailing Address - Street 1:1 HOFFMAN ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:NY
Mailing Address - Zip Code:13021-2157
Mailing Address - Country:US
Mailing Address - Phone:315-704-0319
Mailing Address - Fax:315-704-0160
Practice Address - Street 1:1 HOFFMAN ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:NY
Practice Address - Zip Code:13021-2157
Practice Address - Country:US
Practice Address - Phone:315-704-0319
Practice Address - Fax:315-704-0160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-21
Last Update Date:2012-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY101YP1600X
NY1816361163W00000X
NY0046141171100000X
NY0228901225700000X
NY0250191225700000X
NY0252681225700000X
NY0169851225700000X
NY0224841225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty