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

State Of New York - NPI 1689715310

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 1689715310. 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 1689715310
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 227892
Definition:
An intermediate care facility providing services for individuals with intellectual disabilities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1982021 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) 1689715310 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where State Of New York is located?

The State Of New York is situated at the following address: 44 Holland Ave, Albany, NY, 122290001.

What is the State Of New York's specialty and taxonomy code?

The State Of New York's specialty is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code is 315P00000X.

On what date did the State Of New York receive the assignment of its 1689715310 from the Centers for Medicare & Medicaid Services?

The State Of New York was issued its 1689715310 by the Centers for Medicare & Medicaid Services on 2007-02-08.

As of what date was the information regarding State Of New York, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to State Of New York, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-06-26.

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