Organization
STATE OF NEW YORK
Active
Parent organization
STATE OF NEW YORK
Other names
B Fineson DC Hillside I
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF NEW YORK
Authorized official
KARLA SMITH (DIRECTOR OF CENTRAL OPERATIONS)
(518) 402-4333
Entity
Organization
Contact information
Practice address
238-01 HILLSIDE AVE, QUEENS VILLAGE, NY 11427
(518) 402-4333
Mailing address
44 HOLLAND AVE, ALBANY, NY 12229-0001
(518) 402-4333
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
230HILLI
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01327233
—
NY
Enumeration date
02/07/2007
Last updated
08/27/2008
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