| Berkshire Farm Center &services For Youth | |
|
1059 Sibley Tower Bldg Rochester NY 14604 | |
| (585) 454-1620 | |
| (585) 454-6814 |
| Full Name | Berkshire Farm Center &services For Youth |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1059 Sibley Tower Bldg, Rochester, New York |
| Authorized Official Name and Position | Timothy Giacchetta (CEO) |
| Authorized Official Contact | 5187814567 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Berkshire Farm Center &services For Youth 13640 State Route 22 Canaan NY 12029 Ph: (518) 781-4567 | Berkshire Farm Center &services For Youth 1059 Sibley Tower Bldg Rochester NY 14604 Ph: (585) 454-1620 |
| NPI Number | 1730336124 |
|---|---|
| Provider Enumeration Date | 08/27/2008 |
| Last Update Date | 08/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730336124 | NPI | - | NPPES |
| 02513115 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 051010545 (New York) | Primary |
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