| Center for Disability Services, Inc | |
|
314 S Manning Blvd Albany NY 12208-1708 | |
| (518) 437-5516 | |
| Not Available |
| Full Name | Center for Disability Services, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 314 S Manning Blvd, Albany, New York |
| Authorized Official Name and Position | Gregory Sorrentino (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5184630832 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center for Disability Services, Inc 314 S Manning Blvd Albany NY 12208-1708 | Center for Disability Services, Inc 314 S Manning Blvd Albany NY 12208-1708 Ph: (518) 437-5516 |
| NPI Number | 1508812116 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 05/02/2024 |
| Certification Date | 05/02/2024 |
| Medicare PECOS PAC ID | 5799685327 |
|---|---|
| Medicare Enrollment ID | O20040112000026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508812116 | NPI | - | NPPES |
| 00473583 | Medicaid | NY | |
| 336530 | Other | NY | MEDICARE A |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Primary |
| 252Y00000X | Early Intervention Provider Agency | (NU) | Secondary |
| Provider Name | Sondra K Berger |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1902876055 PECOS PAC ID: 7113821315 Enrollment ID: I20031120000341 |
| Provider Name | Christa Dunne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659495620 PECOS PAC ID: 2567362296 Enrollment ID: I20040109000929 |
| Provider Name | Elizabeth L Keating |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083664726 PECOS PAC ID: 1456367390 Enrollment ID: I20060301000376 |
| Provider Name | Jessica M Hebrank |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881813319 PECOS PAC ID: 7113016478 Enrollment ID: I20071210000275 |
| Provider Name | Michael R Priest |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184650038 PECOS PAC ID: 8628134632 Enrollment ID: I20090226000557 |
| Provider Name | Kelly C Bienick |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1992804066 PECOS PAC ID: 5395898431 Enrollment ID: I20090806000490 |
| Provider Name | Charz P Frasier |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1033217013 PECOS PAC ID: 3072667765 Enrollment ID: I20090814000200 |
| Provider Name | Elaine R Berkun |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1154410868 PECOS PAC ID: 2668526153 Enrollment ID: I20090818000604 |
| Provider Name | Michelle N Mccoy |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1629174388 PECOS PAC ID: 1254485618 Enrollment ID: I20090819000490 |
| Provider Name | Joanne Vanaller-smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770592404 PECOS PAC ID: 6709930860 Enrollment ID: I20090825000126 |
| Provider Name | Elizabeth Lemark Duncan |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1033219993 PECOS PAC ID: 8224176995 Enrollment ID: I20091118000003 |
| Provider Name | Lisa D Seidel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952396327 PECOS PAC ID: 6800922113 Enrollment ID: I20100325000793 |
| Provider Name | Gary O Guilfoyle |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1588645238 PECOS PAC ID: 0840323846 Enrollment ID: I20100728000128 |
| Provider Name | Penelope M Blasch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003863879 PECOS PAC ID: 2062546534 Enrollment ID: I20100819000347 |
| Provider Name | Elaine J Hill |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295791507 PECOS PAC ID: 3375668767 Enrollment ID: I20100908000691 |
| Provider Name | Steven D Marcal |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831154392 PECOS PAC ID: 1658497094 Enrollment ID: I20100923000287 |
| Provider Name | Kimberly S Keane |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013095090 PECOS PAC ID: 4880886175 Enrollment ID: I20101005000611 |
| Provider Name | Susan L Wildemann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902858996 PECOS PAC ID: 4789864315 Enrollment ID: I20110214000660 |
| Provider Name | Russell Wenacur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760421127 PECOS PAC ID: 5294918645 Enrollment ID: I20110328000698 |
| Provider Name | Maria N Kansas Devine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912941410 PECOS PAC ID: 9830372283 Enrollment ID: I20110406000834 |
| Provider Name | Nicole Marie Senter |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649578964 PECOS PAC ID: 7214100148 Enrollment ID: I20111109000345 |
| Provider Name | Sara a Huss |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1851553085 PECOS PAC ID: 2062669278 Enrollment ID: I20120823000165 |
| Provider Name | Marjorie E Bunch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295933174 PECOS PAC ID: 1759415938 Enrollment ID: I20120906000312 |
| Provider Name | Mary Lou Murrock |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194809020 PECOS PAC ID: 1456596055 Enrollment ID: I20130927000494 |
| Provider Name | Annamae Conry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487602322 PECOS PAC ID: 6406883156 Enrollment ID: I20140818000668 |
| Provider Name | Sonia Rai |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1598840852 PECOS PAC ID: 7315268448 Enrollment ID: I20150602000728 |
| Provider Name | Dennis J Valerio |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1982634515 PECOS PAC ID: 8820319544 Enrollment ID: I20150608000185 |
| Provider Name | Ashley L Wheeler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083168835 PECOS PAC ID: 7416244280 Enrollment ID: I20160921002317 |
| Provider Name | Natalie a Snow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760981294 PECOS PAC ID: 2365706678 Enrollment ID: I20180514000129 |
| Provider Name | Danielle Shriana Giammatteo |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356830921 PECOS PAC ID: 4284989328 Enrollment ID: I20180614000118 |
| Provider Name | Cassi J Brancato |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861977571 PECOS PAC ID: 4486907243 Enrollment ID: I20181024000740 |
| Provider Name | Jenson Richard Little |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104478221 PECOS PAC ID: 5597190215 Enrollment ID: I20200127000776 |
| Provider Name | Laura Ann Shemo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972892198 PECOS PAC ID: 7911335120 Enrollment ID: I20200323002159 |
| Provider Name | John Lansing |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134549918 PECOS PAC ID: 6103161039 Enrollment ID: I20200811002925 |
| Provider Name | Kiel Francis Kyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174295281 PECOS PAC ID: 7214328079 Enrollment ID: I20220105001202 |
| Provider Name | David Joseph Brunette |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427639939 PECOS PAC ID: 6406249531 Enrollment ID: I20220211001809 |
| Provider Name | Emily Calkins |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639820426 PECOS PAC ID: 4587036132 Enrollment ID: I20230208002902 |
| Provider Name | Zackery J Karl |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144911173 PECOS PAC ID: 8820455041 Enrollment ID: I20230614001869 |
| Provider Name | Madeline Michelle Gendron |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295444008 PECOS PAC ID: 6800253782 Enrollment ID: I20231003000577 |
| Provider Name | Natima Shavone Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124702063 PECOS PAC ID: 4385099399 Enrollment ID: I20231011002721 |
| Provider Name | Kaileigh Elizabeth Sheffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255119244 PECOS PAC ID: 3375991755 Enrollment ID: I20231122003050 |
| Provider Name | Madison Rose Langey |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003691569 PECOS PAC ID: 1052762200 Enrollment ID: I20240116000091 |
| Provider Name | Robin Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437995347 PECOS PAC ID: 3577097393 Enrollment ID: I20241115000188 |
| Provider Name | Keilie Depodesta |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1669290805 PECOS PAC ID: 0244764975 Enrollment ID: I20241118000283 |
Sheridan Preparatory Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 Sheridan Ave, Albany, NY 12206 Phone: 518-465-4771 |
Koinonia Primary Care Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 553 Clinton Ave, Albany, NY 12206 Phone: 518-689-0282 Fax: 518-689-0283 |
Jose M David the Practice of Family Medcine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1 Alton Rd, Albany, NY 12203 Phone: 518-456-4634 |
Prime Care Physicians, P.L.L.C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Palisades Dr, Suite 200, Albany, NY 12205 Phone: 518-438-0019 Fax: 518-438-0299 |
St. Peter's General Surgery Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 319 S Manning Blvd Ste 308, St. Peter's General Surgery, Albany, NY 12208 Phone: 518-346-1934 |
St. Peter's Internal Medicine and Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Patroon Creek Blvd Suite 100, St Peter's Internal Medicine And Pediatrics, Albany, NY 12206 Phone: 518-618-1100 Fax: 518-618-1663 |