Provider Demographics
NPI:1013256395
Name:ECHO DAY COMMUNITY
Entity Type:Organization
Organization Name:ECHO DAY COMMUNITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:T
Authorized Official - Last Name:CORASANTI
Authorized Official - Suffix:
Authorized Official - Credentials:MHA
Authorized Official - Phone:716-946-1122
Mailing Address - Street 1:190 MINERVA ST
Mailing Address - Street 2:
Mailing Address - City:TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14150-3336
Mailing Address - Country:US
Mailing Address - Phone:716-833-2851
Mailing Address - Fax:
Practice Address - Street 1:322 PRYOR AVE
Practice Address - Street 2:
Practice Address - City:TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14150-7431
Practice Address - Country:US
Practice Address - Phone:716-833-2851
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-06
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care