FINGER LAKES DDSO YATES NPI 1174657886

NPI Information

NPI: 1174657886
Provider Name: FINGER LAKES DDSO YATES
Classification: Clinic/Center - 261QD1600X
Specialization: Developmental Disabilities
Entity Type: Organization
Address: 316 ELM ST
PENN YAN, NY
ZIP 14527
Phone: (518) 402-4333

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NPI Details

FINGER LAKES DDSO YATES is a developmental disabilities clinic center in Penn Yan, 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.). FINGER LAKES DDSO YATES NPI is 1174657886. The provider is registered as an organization entity type.

The provider's business location address is:

316 ELM ST
PENN YAN, NY
ZIP 14527-410
Phone: (518) 402-4333

The provider's authorized official is Karla Smith .
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 3/15/2007 and was last updated on 8/20/2009.

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
1	261QD1600X	Clinic/Center	Developmental Disabilities	00272950	NEW YORK	Yes

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
1	01433807	MEDICAID	NEW 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: 11/21/2025

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