| Organization Name: | NYSARC INC COLUMBIA COUNTY CHAPTER |
| NPI Number: | 1033256615 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KENNETH R STALL (EXECUTIVE DIRECTOR) |
| Mailing Address: | 3100 Lake St Valatie |
| State: | NY US |
| Postal Code: | 121842305 |
| Phone Number: | 5186724451 |
| Fax Number: | |
| NPI Enumeration Date: | 01/31/2007 |
| NPI Last Update Date: | 06/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251V00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Voluntary or Charitable |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |