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STATE OF NEW YORK COMPTROLLERS OFFICE NPI 1215165493


NPI Information

NPI: 1215165493
Provider Name: STATE OF NEW YORK COMPTROLLERS OFFICE

Other Name: WESTERN NY DDSO - JN ADAMS

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

Specialization: Developmental Disabilities

Address:
258 E MAIN ST
FREDONIA, NY
ZIP 14063
Phone: (716) 672-3400
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STATE OF NEW YORK COMPTROLLERS OFFICE is a developmental disabilities clinic center in Fredonia, 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 1215165493. The provider is registered as an organization entity type.
The provider Other Name Is Western Ny Ddso - Jn Adams.

The provider's business location address is:

258 E MAIN ST
FREDONIA, NY
ZIP 14063-410
Phone: (716) 672-3400

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 6/26/2009 and was last updated on 11/16/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD1600XClinic/CenterDevelopmental DisabilitiesYes

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: 4/28/2024

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