Provider Demographics
NPI:1518172642
Name:NYS OFFICE OF CHILDREN AND FAMILY SERVICES
Entity Type:Organization
Organization Name:NYS OFFICE OF CHILDREN AND FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:518-474-9560
Mailing Address - Street 1:52 WASHINGTON ST
Mailing Address - Street 2:RM 122 NORTH
Mailing Address - City:RENSSELAER
Mailing Address - State:NY
Mailing Address - Zip Code:12144-2834
Mailing Address - Country:US
Mailing Address - Phone:518-474-9560
Mailing Address - Fax:518-486-7099
Practice Address - Street 1:52 WASHINGTON ST
Practice Address - Street 2:RM 122 NORTH
Practice Address - City:RENSSELAER
Practice Address - State:NY
Practice Address - Zip Code:12144-2834
Practice Address - Country:US
Practice Address - Phone:518-474-9560
Practice Address - Fax:518-486-7099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2400XAmbulatory Health Care FacilitiesClinic/CenterPrison Health