New York State

NPI #1942484324 in Hauppauge, New York

Provider Information

NPI Number: 1942484324
Entity Type: Organization
Organization Name: New York State
Subpart: Yes (part of a larger organization)
Parent Organization: NEW YORK STATE
Primary Specialty: Case Management
Enumeration Date: Dec 21, 2007
Last Updated: Jun 25, 2008

Practice Location

Address: 415 OSER AVE
City: Hauppauge
State: New York
ZIP Code: 11788-3642
Phone: (518) 457-9835

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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