State of New York Comptrollers Office

NPI #1508079567 in Fredonia, New York

Provider Information

NPI Number: 1508079567
Entity Type: Organization
Organization Name: State of New York Comptrollers Office
Primary Specialty: Audiologist
Enumeration Date: May 7, 2007
Last Updated: Nov 16, 2018

Practice Location

Address: 280 CENTRAL AVE
Address 2: W123 THOMPSON HALL
City: Fredonia
State: New York
ZIP Code: 14063-1127
Phone: (716) 673-3203

Authorized Official

Name: MICHAEL D METZGER
Title: VP FINANCE & ADMIN
Phone: (716) 673-3109

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Speech-Language Pathologist	235Z00000X
Audiologist	231H00000X	Primary

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