# CLIFTON-FINE HEALTHCARE CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427750561
- **Authorized official:** DIERDRA SORRELL (CEO)
- **Authorized official phone:** (315) 848-4260

## Contact information

- **Practice address:** 1014 OSWEGATCHIE TRAIL RD, STAR LAKE, NY 13690-3143
- **Practice address phone:** (315) 848-4260
- **Mailing address:** 1014 OSWEGATCHIE TRAIL RD, STAR LAKE, NY 13690-3143
- **Mailing address phone:** (315) 848-4260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/21/2023
- **Last updated:** 05/30/2023