Nys Doccs Wende Correctionel Facility

NPI #1790449726 in Alden, New York

Provider Information

NPI Number: 1790449726
Entity Type: Organization
Organization Name: Nys Doccs Wende Correctionel Facility
Subpart: Yes (part of a larger organization)
Parent Organization: NEW YORK STATE DEPT OF CORRECTIONS & COMMUNITY SUPERVISION
Primary Specialty: Clinic/Center - Prison Health
Enumeration Date: Oct 26, 2021
Last Updated: Oct 26, 2021

Practice Location

Address: 3622 WENDE RD
City: Alden
State: New York
ZIP Code: 14004-1187
Phone: (716) 937-4000

Authorized Official

Name: MR. STEWART THOMAS ECKERT, HEAD ADMINISTRATOR
Title: SUPERVISING SUPERINTENDENT
Phone: (716) 937-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Custodial Care Facility	311Z00000X
Clinic/Center - Prison Health — Prison Health	261QP2400X	Primary

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