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STATE OF NEW YORK COMPTROLLERS OFFICE NPI 1417081761


NPI Information

NPI: 1417081761
Provider Name: STATE OF NEW YORK COMPTROLLERS OFFICE

Other Name: HUDSON VALLEY DDSO - LETCHWORTH

Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

Address:
11 WILBUR RD
THIELLS, NY
ZIP 10984
Phone: (845) 947-6220
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STATE OF NEW YORK COMPTROLLERS OFFICE is a developmental disabilities clinic center in Thiells, NY. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). STATE OF NEW YORK COMPTROLLERS OFFICE NPI is 1417081761. The provider is registered as an organization entity type.
The provider Other Name Is Hudson Valley Ddso - Letchworth.

The provider's business location address is:

11 WILBUR RD
THIELLS, NY
ZIP 10984-555
Phone: (845) 947-6220

The provider's authorized official is Earl Jefferson .
The authorized official title is Director Of Central Operations and has the following contact phone number (518) 402-4333.

The enumeration date for this NPI number is 3/16/2007 and was last updated on 1/6/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD1600XClinic/CenterDevelopmental Disabilities00234647NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101399288MEDICAIDNEW YORK
2J100173053MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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