STATE OF NEW YORK is an intermediate care facility mentally retarded in Queens Village, NY. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. STATE OF NEW YORK NPI is 1003447012. The provider is registered as an organization entity type.
The provider's business location address is:
8045 WINCHESTER BLVD BLDG 08
QUEENS VILLAGE, NY
ZIP 11427-194
Phone: (718) 217-4242
The provider's authorized official is Earl Raymond 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 1/29/2020 and was last updated on 1/29/2020.