Provider Demographics
NPI:1700021052
Name:AFEC SERVICES LLC
Entity Type:Organization
Organization Name:AFEC SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:C
Authorized Official - Last Name:FILANNINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-589-5142
Mailing Address - Street 1:33 CIMARRON ROAD
Mailing Address - Street 2:
Mailing Address - City:PUTNAM VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10579-0913
Mailing Address - Country:US
Mailing Address - Phone:914-589-5142
Mailing Address - Fax:845-603-6591
Practice Address - Street 1:33 CIMARRON RD
Practice Address - Street 2:
Practice Address - City:PUTNAM VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10579-1807
Practice Address - Country:US
Practice Address - Phone:914-589-5142
Practice Address - Fax:845-603-6591
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-15
Last Update Date:2016-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03105084Medicaid