Provider Demographics
NPI:1629443437
Name:THE HANDICAPPED CHILDREN'S ASSOCIATION OF SOUTHERN NEW YORK, INC.
Entity Type:Organization
Organization Name:THE HANDICAPPED CHILDREN'S ASSOCIATION OF SOUTHERN NEW YORK, INC.
Other - Org Name:HCA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXEC. DIR.
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:SANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-798-7117
Mailing Address - Street 1:139 GRAND AVE.
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:NY
Mailing Address - Zip Code:13790-2198
Mailing Address - Country:US
Mailing Address - Phone:607-217-0066
Mailing Address - Fax:607-217-0069
Practice Address - Street 1:18 BROAD ST.
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:NY
Practice Address - Zip Code:13790-2198
Practice Address - Country:US
Practice Address - Phone:607-798-7117
Practice Address - Fax:607-798-0074
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE HANDICAPPED CHILDREN'S ASSOCIATION OF SOUTHERN NEW YORK, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-12-04
Last Update Date:2016-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities