Provider Demographics
NPI:1902050396
Name:THE COLLEGE OF SAINT ROSE
Entity Type:Organization
Organization Name:THE COLLEGE OF SAINT ROSE
Other - Org Name:THE PAULINE K. WINKLER CENTER AT THE COLLEGE OF SAINT ROSE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF CLINICAL SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMPARELLI
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:518-454-5263
Mailing Address - Street 1:432 WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12203-1419
Mailing Address - Country:US
Mailing Address - Phone:518-454-5263
Mailing Address - Fax:518-337-2313
Practice Address - Street 1:432 WESTERN AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12203-1419
Practice Address - Country:US
Practice Address - Phone:518-454-5263
Practice Address - Fax:518-337-2313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-11
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency