Triform Enterprises LTD.
Organization Active NPI Developmentally Disabled Services Day Training Agency · Hudson, NY
NPI 1417196155 · NPPES record last updated Feb 19, 2009
Key facts
- NPI
- 1417196155
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Developmentally Disabled Services Day Training Agency 251C00000X
- License
- 9035400 (NY)
- Legal business name
- TRIFORM ENTERPRISES LTD.
- Practice address
- 20 Triform Road
Hudson, NY 12534 - Phone
- (518) 851-9320
- Fax
- (518) 851-2864
- NPI assigned
- Feb 19, 2009
- Organization subpart
- No
Authorized official
- Name
- Mr. Timothy Paholak
- Title
- President
- Phone
- (518) 851-9320
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | 9035400 | NY | Yes |
Addresses
Primary practice location
20 Triform Road
Hudson, NY 12534
Mailing address
20 Triform Road
Hudson, NY 12534
Phone (518) 851-9320
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02702463 | Medicaid | NY |
Other names
- Triform Camphill Community
Other providers in Hudson, NY
- Illya Szilak
- Tanya D Mays MD PLLC
- Justin Timko
- Sharon Toussaint
- Morgan Ashlee Tremont
- Troy Audiology, PC
- Stephanie Demetra Tsandikos
- John Yule Tsou
- Jessica Tullo
- Twin County Medical Associates, PC
All providers in Hudson, NY · Developmentally Disabled Services Day Training Agency in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.