Provider Demographics
NPI:1679644603
Name:PATHWAYS, INC.
Entity Type:Organization
Organization Name:PATHWAYS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:LUKOMSKI
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:607-937-3200
Mailing Address - Street 1:33 DENISON PKWY W
Mailing Address - Street 2:
Mailing Address - City:CORNING
Mailing Address - State:NY
Mailing Address - Zip Code:14830-2613
Mailing Address - Country:US
Mailing Address - Phone:607-937-3200
Mailing Address - Fax:607-937-3211
Practice Address - Street 1:4162 MEADS CREEK RD
Practice Address - Street 2:
Practice Address - City:PAINTED POST
Practice Address - State:NY
Practice Address - Zip Code:14870-9538
Practice Address - Country:US
Practice Address - Phone:607-937-3836
Practice Address - Fax:607-962-4330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7113443315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02173522Medicaid