State of New York Comptrollers Office

NPI #1396195095 in Elmira, New York

Provider Information

NPI Number: 1396195095
Entity Type: Organization
Organization Name: State of New York Comptrollers Office
Subpart: Yes (part of a larger organization)
Parent Organization: STATE OF NEW YORK COMPTROLLERS OFFICE
Primary Specialty: Clinic/Center - Developmental Disabilities
Enumeration Date: Jun 14, 2016
Last Updated: Jun 14, 2016

Practice Location

Address: 164 SULLIVAN STREET
City: Elmira
State: New York
ZIP Code: 14901
Phone: (518) 402-4333

Authorized Official

Name: EARL JEFFERSON
Title: DIRECTOR OF CENTRAL OPERATIONS
Phone: (518) 402-4333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Developmental Disabilities — Developmental Disabilities	261QD1600X	Primary

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