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Contact Information

STATE OF NEW YORK
22 SINPATCH RD
WASSAIC, NY12592-2432
 Phone: 518-402-4333
 Fax: 518-408-2465
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Intermediate Care Facility, Mentally Retarded

315P00000X
Indicates primary specialty

NPI Profile & details for STATE OF NEW YORK

NPI # 1487906368
LBN Legal business name STATE OF NEW YORK
Authorized official KARLA SMITH - (DIRECTOR OF CENTRAL OPERATIONS)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/03/2012
Last updated 10/03/2012 - About 14 years ago
Identifiers
NY License # 0275791
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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