Provider Demographics
NPI:1104102730
Name:CSA THERAPY, INC.
Entity type:Organization
Organization Name:CSA THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:AMATO
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:347-522-1471
Mailing Address - Street 1:350 65TH ST
Mailing Address - Street 2:APT. 25N
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-4948
Mailing Address - Country:US
Mailing Address - Phone:347-522-1471
Mailing Address - Fax:718-680-8980
Practice Address - Street 1:350 65TH ST
Practice Address - Street 2:APT. 25N
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-4948
Practice Address - Country:US
Practice Address - Phone:347-522-1471
Practice Address - Fax:718-680-8980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-27
Last Update Date:2011-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY045988-1251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services