Provider Demographics
NPI:1528594579
Name:AABR, INC.
Entity Type:Organization
Organization Name:AABR, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:BOSNACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-321-3800
Mailing Address - Street 1:1508 COLLEGE POINT BLVD
Mailing Address - Street 2:
Mailing Address - City:COLLEGE POINT
Mailing Address - State:NY
Mailing Address - Zip Code:11356-2210
Mailing Address - Country:US
Mailing Address - Phone:718-321-3800
Mailing Address - Fax:718-321-0972
Practice Address - Street 1:11233 199TH ST
Practice Address - Street 2:
Practice Address - City:SAINT ALBANS
Practice Address - State:NY
Practice Address - Zip Code:11412-2119
Practice Address - Country:US
Practice Address - Phone:718-776-3900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02692437Medicaid