Provider Demographics
NPI:1174908743
Name:ASTOR SERVICES FOR CHILDREN & FAMILIES
Entity type:Organization
Organization Name:ASTOR SERVICES FOR CHILDREN & FAMILIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:MCCOUBREY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:845-471-6004
Mailing Address - Street 1:PO BOX 5005
Mailing Address - Street 2:
Mailing Address - City:RHINEBECK
Mailing Address - State:NY
Mailing Address - Zip Code:12572-5005
Mailing Address - Country:US
Mailing Address - Phone:845-871-1000
Mailing Address - Fax:845-350-3013
Practice Address - Street 1:6339 MILL ST
Practice Address - Street 2:
Practice Address - City:RHINEBECK
Practice Address - State:NY
Practice Address - Zip Code:12572-1427
Practice Address - Country:US
Practice Address - Phone:845-350-3010
Practice Address - Fax:845-350-3013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-24
Last Update Date:2015-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY084217302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization