State of New York

NPI #1821138249 in Perry, New York

Provider Information

NPI Number
1821138249
Entity Type
Organization
Organization Name
State of New York
Subpart
Yes (part of a larger organization)
Parent Organization
STATE OF NEW YORK
Primary Specialty
Clinic/Center - Developmental Disabilities
Enumeration Date
Feb 7, 2007
Last Updated
Jun 25, 2008

Practice Location

Address
7059 STANDPIPE DT
City
Perry
ZIP Code
14530
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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