Provider Demographics
NPI:1750685582
Name:SENIOR CITIZEN AGED & DISABLED ALLIANCE
Entity Type:Organization
Organization Name:SENIOR CITIZEN AGED & DISABLED ALLIANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:SANTANGELO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-642-9945
Mailing Address - Street 1:TEN SAMPSON STREET
Mailing Address - Street 2:UNIT 110
Mailing Address - City:SADDLE BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:07663
Mailing Address - Country:US
Mailing Address - Phone:201-820-3743
Mailing Address - Fax:201-820-3743
Practice Address - Street 1:TEN SAMPSON STREET
Practice Address - Street 2:UNIT 110
Practice Address - City:SADDLE BROOK
Practice Address - State:NJ
Practice Address - Zip Code:07663
Practice Address - Country:US
Practice Address - Phone:201-820-3743
Practice Address - Fax:201-820-3743
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-10
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251300000XAgenciesLocal Education Agency (LEA)
No251K00000XAgenciesPublic Health or Welfare