National Provider Identifier Database

STATE OF NEW YORK COMPTROLLERS OFFICE
Developmental Disabilities

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).


Contact Information

STATE OF NEW YORK COMPTROLLERS OFFICE
15598 STATE HIGHWAY 8
MASONVILLE, NY13804
Phone: 607-265-3322
Fax:
Website:
Specialty Taxonomy Code
* Developmental Disabilities 261QD1600X

* Indicates primary specialty

NPI Profile & details for STATE OF NEW YORK COMPTROLLERS OFFICE

NPI Number 1447375324
Legal business name
LBN
STATE OF NEW YORK COMPTROLLERS OFFICE
Authorized official EARL JEFFERSON - (DIRECTOR OF CENTRAL OPERATIONS)
Entity Organization
Organization subpart Yes
Enumeration date 03/20/2007
Last updated 01/06/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: 00233170
  • NY Medicaid: 01419121

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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