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

State Of New York - NPI 1124168075

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 1124168075. 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 1124168075
Provider Enumeration Date 2007-02-08
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 227890
Definition:
An intermediate care facility providing services for individuals with intellectual disabilities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1981988 NY --

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FAQs about State Of New York

What is the unique identifier code issued to State Of New York by the Centers for Medicare & Medicaid Services?

The State Of New York has been assigned the NPI (National Provider Identifier) 1124168075. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where State Of New York is physically located?

The State Of New York is physically situated at the following address: 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 was the State Of New York's 1124168075 issued?

The State Of New York's 1124168075 was issued on 2007-02-08.

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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