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Contact Information

CNY DDSO ROME CLINIC - OMR
14 ARNOLD AVE
UTICA, NY13502-5602
 Phone: 518-402-4333
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Developmental Disabilities

261QD1600X
Indicates primary specialty

NPI Profile & details for CNY DDSO ROME CLINIC - OMR

NPI Number 1316071137
LBN Legal business name CNY DDSO ROME CLINIC - OMR
Authorized official KARLA SMITH - (DIRECTOR OF CENTRAL OPERATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 03/15/2007
Last updated 08/20/2009 - About 17 years ago
Identifiers
NY License # 00273840
NY Medicaid 01552363
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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