State of New York Comptrollers Office

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

License

00234647 Issued in NY

Legal business name

STATE OF NEW YORK COMPTROLLERS OFFICE

Practice address

28 Bull Rd
Campbell Hall, NY 10916-2719

Phone

(845) 947-6205

NPI assigned

Jul 8, 2009

Last updated

Jan 6, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

STATE OF NEW YORK COMPTROLLERS OFFICEAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Earl Jefferson

Title

Director of Central Operations

Phone

(518) 402-4333

Specialties & licenses 1

Addresses

Other names 1

• Hudson Valley DDSO - Letchworth Other name

Part of

Wilton Devel Ctr Rev M

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1831328012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 HOLLAND AVENUE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122290001",
            "telephone_number": "518-402-4333",
            "fax_number": "518-473-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 BULL RD",
            "city": "CAMPBELL HALL",
            "state": "NY",
            "postal_code": "109162719",
            "telephone_number": "845-947-6205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF NEW YORK COMPTROLLERS OFFICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF NEW YORK COMPTROLLERS OFFICE",
        "enumeration_date": "2009-07-08",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON",
        "authorized_official_first_name": "EARL",
        "authorized_official_title_or_position": "DIRECTOR OF CENTRAL OPERATIONS",
        "authorized_official_telephone_number": "518-402-4333"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NY",
            "license": "00234647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hudson Valley DDSO - Letchworth",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Emily Sarantapoulas
• Marwa Ahmed Shueib
• Joanna F Simon, MS, CCC, SLP
• Karyn Smith
• Daniel Gerber St. Pierre, PA
• Christian Talia
• Giulietta Terranova-Fini
• Deslene Thomas, MD
• Washingtonville Central School District
• Wellness Wheels LLC

• Developmental Disabilities Clinic/Center in Campbell Hall, NY
• Providers in Campbell Hall, NY by specialty
• Developmental Disabilities Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.