Provider Demographics
NPI:1245369495
Name:CATHOLIC CHARITIES OF DIOCESE OF ALBANY
Entity type:Organization
Organization Name:CATHOLIC CHARITIES OF DIOCESE OF ALBANY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE & HIPAA PRIVACY OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KROM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-453-6650
Mailing Address - Street 1:142 REGENT ST
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-4308
Mailing Address - Country:US
Mailing Address - Phone:518-587-5000
Mailing Address - Fax:518-587-3127
Practice Address - Street 1:35 BROAD ST
Practice Address - Street 2:
Practice Address - City:GLENS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12801-4302
Practice Address - Country:US
Practice Address - Phone:518-793-6212
Practice Address - Fax:518-793-9499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYBA0734Medicare PIN