Organization
NEW YORK STATE OPWDD
Active
Parent organization
CNYDDSO
Organization subpart
Yes
Provider details
NPI number
Legal business name
CNYDDSO
Authorized official
LYNETTE O'BRIEN (DEPUTY DIRECTORY, CNY DDSO)
(315) 473-6979
Entity
Organization
Contact information
Practice address
65 MAIN ST, CAMDEN, NY 13316-1339
(315) 245-4121
(315) 245-4526
Mailing address
65 MAIN ST, CAMDEN, NY 13316-1339
(315) 245-4121
(315) 245-4526
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
225X00000X
NY
Other
Enumeration date
01/22/2016
Last updated
01/22/2016
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