Provider Demographics
NPI:1881003358
Name:COLONIE SENIOR SERVICE CENTERS, INC.
Entity Type:Organization
Organization Name:COLONIE SENIOR SERVICE CENTERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-459-2857
Mailing Address - Street 1:6 WINNERS CIR
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12205-1155
Mailing Address - Country:US
Mailing Address - Phone:518-459-2857
Mailing Address - Fax:518-459-2062
Practice Address - Street 1:6 WINNERS CIR
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205-1155
Practice Address - Country:US
Practice Address - Phone:518-459-2857
Practice Address - Fax:518-459-2062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-08
Last Update Date:2014-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No344600000XTransportation ServicesTaxi
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02904061Medicaid