Organization
NYS DOCCS WENDE CORRECTIONEL FACILITY
Active
Parent organization
NEW YORK STATE DEPT OF CORRECTIONS & COMMUNITY SUPERVISION
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEW YORK STATE DEPT OF CORRECTIONS & COMMUNITY SUPERVISION
Authorized official
MR. STEWART THOMAS ECKERT HEAD ADMINISTRATOR (SUPERVISING SUPERINTENDENT)
(716) 937-4000
Entity
Organization
Contact information
Practice address
3622 WENDE RD, ALDEN, NY 14004-1187
(716) 937-4000
Mailing address
3622 WENDE RD, PO BOX 1187, ALDEN, NY 14004-1187
(716) 937-4000
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
—
—
311Z00000X
Custodial Care Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3379030
NABP
NY
Enumeration date
10/26/2021
Last updated
10/26/2021
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