State of New York

NPI #1922148238 in Rome, New York

Provider Information

NPI Number
1922148238
Entity Type
Organization
Organization Name
State of New York
Subpart
Yes (part of a larger organization)
Parent Organization
STATE OF NEW YORK
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Feb 7, 2007
Last Updated
Aug 6, 2008

Practice Location

Address
801 CYPRESS ST
City
Rome
ZIP Code
13440-2129
Phone
(518) 402-4333

Authorized Official

Name
KARLA SMITH
Title
DIRECTOR OF CENTRAL OPERATIONS
Phone
(518) 402-4333

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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