Provider Demographics
NPI:1346769882
Name:CATHOLIC CHARITIES OF THE DIOCESE OF ALBANY
Entity Type:Organization
Organization Name:CATHOLIC CHARITIES OF THE DIOCESE OF ALBANY
Other - Org Name:CATHOLIC CHARITIES DISABILITIES SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COMPLIANCE & HIPAA PRIVACY OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KROM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-453-6650
Mailing Address - Street 1:40 N MAIN AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12203-1481
Mailing Address - Country:US
Mailing Address - Phone:418-453-6650
Mailing Address - Fax:
Practice Address - Street 1:1 PARK PL STE 100
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205-2620
Practice Address - Country:US
Practice Address - Phone:518-783-1111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CATHOLIC CHARITIES OF THE DIOCESE OF ALBANY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-09-15
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable