Provider Demographics
NPI:1760803563
Name:GLENS FALLS ASSOCIATION FOR THE BLIND, INC.
Entity Type:Organization
Organization Name:GLENS FALLS ASSOCIATION FOR THE BLIND, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:JESSEN
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:518-792-3421
Mailing Address - Street 1:144 RIDGE ST
Mailing Address - Street 2:
Mailing Address - City:GLENS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12801-3220
Mailing Address - Country:US
Mailing Address - Phone:518-792-3421
Mailing Address - Fax:518-792-3430
Practice Address - Street 1:144 RIDGE ST
Practice Address - Street 2:
Practice Address - City:GLENS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12801-3220
Practice Address - Country:US
Practice Address - Phone:518-792-3421
Practice Address - Fax:518-792-3430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-20
Last Update Date:2013-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable