Organization
STATE OF NEW YORK COMPTROLLERS OFFICE
Active
Parent organization
NYS OPWDD
Other names
Bernard Fineson DDSO
Organization subpart
Yes
Provider details
NPI number
Legal business name
NYS OPWDD
Authorized official
EARL RAYMOND JEFFERSON (DIRECTOR OF CENTRAL OPERATIONS)
(518) 402-4333
Entity
Organization
Contact information
Practice address
90-24 184TH STREET, HOLLIS, NY 11423-2419
(518) 402-4333
Mailing address
44 HOLLAND AVE, ALBANY, NY 12208-3411
(518) 402-4333
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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