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Organization

STATE OF NEW YORK COMPTROLLERS OFFICE

Active
Parent organization
NYS OPWDD
Other names
Capital District 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
500 BALLTOWN RD, SCHENECTADY, NY 12304-2247
(518) 654-7650
Mailing address
44 HOLLAND AVE, ALBANY, NY 12208-3411
(518) 402-4333

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
09/16/2021
Last updated
09/16/2021
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