Provider Demographics
NPI:1912098666
Name:THE CARING COALITION OF CENTRAL NEW YORK
Entity type:Organization
Organization Name:THE CARING COALITION OF CENTRAL NEW YORK
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:CHANDLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-634-1100
Mailing Address - Street 1:990 7TH NORTH ST
Mailing Address - Street 2:
Mailing Address - City:LIVERPOOL
Mailing Address - State:NY
Mailing Address - Zip Code:13088-3148
Mailing Address - Country:US
Mailing Address - Phone:315-634-1100
Mailing Address - Fax:315-634-1111
Practice Address - Street 1:990 7TH NORTH ST
Practice Address - Street 2:
Practice Address - City:LIVERPOOL
Practice Address - State:NY
Practice Address - Zip Code:13088-3148
Practice Address - Country:US
Practice Address - Phone:315-634-1100
Practice Address - Fax:315-634-1111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2011-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY331511251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00955826Medicaid
NY54689AMedicare ID - Type UnspecifiedMEDICARE B
NY331511Medicare Oscar/Certification