Organization
STATE OF NEW YORK COMPTROLLERS OFFICE
Active
Organization
STATE OF NEW YORK COMPTROLLERS OFFICE
Active
Parent organization
STATE OF NEW YORK COMPTROLLERS OFFICE
Other names
Helen Hayes Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF NEW YORK COMPTROLLERS OFFICE
Authorized official
EDMUND COLETTI (CHIEF EXECUTIVE OFFICER)
(845) 786-4305
Entity
Organization
Contact information
Practice address
ROUTE 9W, WEST HAVERSTRAW, NY 10993-1127
(845) 786-4000
(845) 947-0036
Mailing address
ROUTE 9W, WEST HAVERSTRAW, NY 10993-1127
(845) 786-4000
(845) 947-0036
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
4322000H
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014119
AETNA
NY
01
—
0022801
BLUE CROSS SNF
NY
01
—
00475
BLUE CROSS
NY
01
—
H999014
OXFORD
NY
Enumeration date
08/28/2006
Last updated
09/29/2015
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