State Of New York in Albany - Intermediate Care Facility, Intellectual Disabilities
State Of New York - NPI 1205975547
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 1205975547. The last update date is 2008-06-25.
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 | 1205975547 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2008-06-25 |
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 | OMRDD225 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 665678 | NY | -- |
Post Comment/ Review Below
What is the State Of New York's 1205975547?
The State Of New York's NPI (National Provider Identifier) Number is 1205975547. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where State Of New York is physically located?
The State Of New York is situated at the following address: 44 Holland Ave, Albany, NY 122290001.
What is the area of specialization for State Of New York, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for State Of New York is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 315P00000X.
On what date did the State Of New York receive the assignment of its 1205975547 from the Centers for Medicare & Medicaid Services?
The State Of New York was issued its 1205975547 by the Centers for Medicare & Medicaid Services on 2007-02-05.
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 2008-06-25.