Cny Ddso Rome Clinic - Omr

NPI #1316071137 in Utica, New York

Provider Information

NPI Number
1316071137
Entity Type
Organization
Organization Name
Cny Ddso Rome Clinic - Omr
Primary Specialty
Clinic/Center - Developmental Disabilities
Enumeration Date
Mar 15, 2007
Last Updated
Aug 20, 2009

Practice Location

Address
14 ARNOLD AVE
City
Utica
ZIP Code
13502-5602
Phone
(518) 402-4333

Authorized Official

Name
KARLA SMITH
Title
DIRECTOR OF CENTRAL OPERATIONS
Phone
(518) 402-4333

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Developmental DisabilitiesDevelopmental Disabilities

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