Provider Demographics
NPI:1972667285
Name:NORTHEASTERN ASSOCIATION OF THE BLIND AT ALBANY, INC
Entity Type:Organization
Organization Name:NORTHEASTERN ASSOCIATION OF THE BLIND AT ALBANY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASST. EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:BURKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-463-1211
Mailing Address - Street 1:301 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12206-3012
Mailing Address - Country:US
Mailing Address - Phone:518-463-1211
Mailing Address - Fax:518-463-5883
Practice Address - Street 1:301 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12206-3012
Practice Address - Country:US
Practice Address - Phone:518-463-1211
Practice Address - Fax:518-463-5883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-21
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare