Provider Demographics
NPI:1972959708
Name:NYS FEDERATION OF GROWERS & PROCESSORS' ASSOCIATION, INC.
Entity Type:Organization
Organization Name:NYS FEDERATION OF GROWERS & PROCESSORS' ASSOCIATION, INC.
Other - Org Name:AGRI-BUSINESS CHILD DEVELOPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DISABILITIES I/T SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:BETTE
Authorized Official - Middle Name:JEANNE
Authorized Official - Last Name:SOMERVILLE
Authorized Official - Suffix:
Authorized Official - Credentials:BS, MED, MS
Authorized Official - Phone:585-416-8488
Mailing Address - Street 1:488 WEST STATE STREET
Mailing Address - Street 2:
Mailing Address - City:ALBION
Mailing Address - State:NY
Mailing Address - Zip Code:14411
Mailing Address - Country:US
Mailing Address - Phone:585-416-8488
Mailing Address - Fax:
Practice Address - Street 1:448 WEST STATE STREET
Practice Address - Street 2:
Practice Address - City:ALBION
Practice Address - State:NY
Practice Address - Zip Code:14411
Practice Address - Country:US
Practice Address - Phone:585-416-8488
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-11
Last Update Date:2016-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency