State of New York Comptrollers Office
NPI #1588343115 in Queens Village, New York
Provider Information
- NPI Number
- 1588343115
- Entity Type
- Organization
- Organization Name
- State of New York Comptrollers Office
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- NYS OPWDD
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Jul 12, 2023
- Last Updated
- Jul 12, 2023
Practice Location
- Address
- 8045 WINCHESTER BLVD # 3
- City
- Queens Village
- State
- New York
- ZIP Code
- 11427-2193
- Phone
- (718) 217-4242
Authorized Official
- Name
- EARL RAYMOND JEFFERSON
- Title
- DIRECTOR OF CENTRAL OPERATIONS
- Phone
- (518) 402-4333
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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