State Of New York in Albany - Intermediate Care Facility, Intellectual Disabilities

State Of New York - NPI 1023159563

State Of New York is a Intermediate Care Facility, Intellectual Disabilities in Albany, New York. State Of New York practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for State Of New York is 1023159563. The last update date is 2008-06-26.

State Of New York's current location address is 44 Holland Ave, Albany, New York. You can contact this provider via phone number 5184024333. The mailing address for State Of New York is 44 Holland Ave, Albany, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization State Of New York
Address 44 Holland Ave, Albany, New York
Phone Number 5184024333
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR O
Authorized Official Name Smith Karla
Telephone Number 5184024333

NPI Number Detail

NPI Number 1023159563
Provider Enumeration Date 2007-02-09
Last Updated Date 2008-06-26

Provider Mailing Address Detail

Address 44 Holland Ave
City Albany
State New York (NY)
Post Code 122290001
Phone Number 5184024333
Fax Number

Provider's Primary Taxonomy Detail

Speciality Intermediate Care Facility, Intellectual Disabilities
Taxonomy 315P00000X
Licence No 276639
Definition:
An intermediate care facility providing services for individuals with intellectual disabilities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1032246 NY --

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FAQs about State Of New York

What is the unique provider identifier assigned to State Of New York?

The State Of New York has been issued the NPI (National Provider Identifier) 1023159563 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Where is the State Of New York located?

The State Of New York is located at 44 Holland Ave, Albany, NY 122290001.

What is State Of New York's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The State Of New York's specialized field of practice is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 315P00000X.

When did State Of New York receive its 1023159563 assignment?

The State Of New York was assigned its 1023159563 on 2007-02-09, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to State Of New York last refreshed?

The information related to the State Of New York, including its address, specialty, and other relevant details, was last updated on 2008-06-26.

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