Provider Demographics
NPI:1902123169
Name:LEARNING DISABILITIES ASSOCIATION OF CNY
Entity Type:Organization
Organization Name:LEARNING DISABILITIES ASSOCIATION OF CNY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PAULETTE
Authorized Official - Middle Name:J
Authorized Official - Last Name:PURDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-432-0665
Mailing Address - Street 1:722 W MANLIUS ST
Mailing Address - Street 2:
Mailing Address - City:EAST SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13057-2158
Mailing Address - Country:US
Mailing Address - Phone:315-432-0665
Mailing Address - Fax:315-431-0606
Practice Address - Street 1:722 W MANLIUS ST
Practice Address - Street 2:
Practice Address - City:EAST SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13057-2158
Practice Address - Country:US
Practice Address - Phone:315-432-0665
Practice Address - Fax:315-431-0606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-28
Last Update Date:2010-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable