Provider Demographics
NPI:1033162987
Name:CONSUMER DIRECTED CHOICES, INC.
Entity type:Organization
Organization Name:CONSUMER DIRECTED CHOICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CONSTANCE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAYMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-464-0810
Mailing Address - Street 1:7 WASHINGTON SQ
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12205-5527
Mailing Address - Country:US
Mailing Address - Phone:518-464-0810
Mailing Address - Fax:518-690-7153
Practice Address - Street 1:7 WASHINGTON SQ
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205-5527
Practice Address - Country:US
Practice Address - Phone:518-464-0810
Practice Address - Fax:518-690-7153
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01880560Medicaid