Provider Demographics
NPI:1770907644
Name:SENIOR SERVICES CENTERS OF THE ALBANY AREA, INC
Entity type:Organization
Organization Name:SENIOR SERVICES CENTERS OF THE ALBANY AREA, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MONIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOECKMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-465-3322
Mailing Address - Street 1:32 ESSEX ST
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12206-2027
Mailing Address - Country:US
Mailing Address - Phone:518-465-3322
Mailing Address - Fax:518-463-3398
Practice Address - Street 1:32 ESSEX ST
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12206-2027
Practice Address - Country:US
Practice Address - Phone:518-465-3322
Practice Address - Fax:518-463-3398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-12
Last Update Date:2014-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care