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 |
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Address | 44 Holland Ave, Albany, New York |
Phone Number | 5184024333 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | DIRECTOR O |
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Authorized Official Name | Smith Karla |
Telephone Number | 5184024333 |
NPI Number Detail
NPI Number | 1689715310 |
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Provider Enumeration Date | 2007-02-08 |
Last Updated Date | 2008-06-26 |
Provider Mailing Address Detail
Address | 44 Holland Ave |
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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 |
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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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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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