Organization
STATE OF NEW YORK
Active
Parent organization
STATE OF NEW YORK COMPTROLLERS OFFICE
Other names
Bernard M. Fineson Developmental Disabilities Services Office
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF NEW YORK COMPTROLLERS OFFICE
Authorized official
EARL RAYMOND JEFFERSON (DIRECTOR OF CENTRAL OPERATIONS)
(518) 402-4333
Entity
Organization
Contact information
Practice address
8045 WINCHESTER BLVD BLDG 8, QUEENS VILLAGE, NY 11427-2194
(718) 217-5767
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
01/11/2021
Last updated
01/11/2021
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