Provider Demographics
NPI:1760563738
Name:NYSARC, INC. DUTCHESS COUNTY CHAPTER
Entity Type:Organization
Organization Name:NYSARC, INC. DUTCHESS COUNTY CHAPTER
Other - Org Name:DUTCHESS ARC
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:CONSTABLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-635-8084
Mailing Address - Street 1:1435 ROUTE 44
Mailing Address - Street 2:
Mailing Address - City:PLEASANT VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:12569-7832
Mailing Address - Country:US
Mailing Address - Phone:845-635-8084
Mailing Address - Fax:845-635-4080
Practice Address - Street 1:8 INDUSTRY ST
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12603-2618
Practice Address - Country:US
Practice Address - Phone:845-471-8876
Practice Address - Fax:845-473-2567
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities