State Of New York in Albany - Intermediate Care Facility, Intellectual Disabilities
State Of New York - NPI 1720128796
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 1720128796. 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 | 1720128796 |
|---|---|
| Provider Enumeration Date | 2007-02-07 |
| 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 | 235631 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1254571 | NY | -- |
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What is the State Of New York's 1720128796?
The State Of New York's NPI (National Provider Identifier) Number is 1720128796. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the State Of New York's physical address?
The State Of New York is physically located at 44 Holland Ave, in the city of Albany, NY, with the postal code 122290001.
What is State Of New York's area of expertise and its corresponding taxonomy classification?
The State Of New York's field of specialization is Intermediate Care Facility, Intellectual Disabilities, and it falls under the taxonomy code 315P00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1720128796 to State Of New York?
The Centers for Medicare & Medicaid Services originally issued the 1720128796 to State Of New York on 2007-02-07.
When was the information regarding State Of New York most recently updated?
The details pertaining to the State Of New York, including its address, specialty, and other relevant information, were last refreshed on 2008-06-26.
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