Provider Demographics
NPI:1518242130
Name:PATHWAYS COMMUNITY SUPPORT SERVICES, INC
Entity Type:Organization
Organization Name:PATHWAYS COMMUNITY SUPPORT SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AZZY
Authorized Official - Middle Name:
Authorized Official - Last Name:RECKESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-462-4000
Mailing Address - Street 1:32 PINE TREE DR
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12603-5224
Mailing Address - Country:US
Mailing Address - Phone:845-462-4000
Mailing Address - Fax:845-462-2074
Practice Address - Street 1:803 VIOLET AVE
Practice Address - Street 2:
Practice Address - City:HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:12538-1959
Practice Address - Country:US
Practice Address - Phone:845-229-4727
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-14
Last Update Date:2011-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi