Provider Demographics
NPI:1902921307
Name:ALBANY COUNTY
Entity Type:Organization
Organization Name:ALBANY COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EARLY INTERVENTION OFFICIAL
Authorized Official - Prefix:MRS
Authorized Official - First Name:CANDACE
Authorized Official - Middle Name:ADAMS
Authorized Official - Last Name:GROSSJOHANN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:518-447-4820
Mailing Address - Street 1:112 STATE ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12207-2005
Mailing Address - Country:US
Mailing Address - Phone:518-447-4820
Mailing Address - Fax:518-447-4855
Practice Address - Street 1:112 STATE ST
Practice Address - Street 2:SUITE 300
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12207-2005
Practice Address - Country:US
Practice Address - Phone:518-447-4820
Practice Address - Fax:518-447-4855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00473616Medicaid