Cny Ddso Rome Clinic
Organization Active NPI Developmental Disabilities Clinic/Center · Lowville, NY
NPI 1851425565 · NPPES record last updated Aug 20, 2009
Key facts
- NPI
- 1851425565
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Developmental Disabilities Clinic/Center 261QD1600X
- License
- 00273840 (NY)
- Legal business name
- CNY DDSO ROME CLINIC
- Practice address
- 7688 Forest Ave
Lowville, NY 13367-1333 - Phone
- (518) 402-4333
- NPI assigned
- Mar 15, 2007
- Organization subpart
- No
Authorized official
- Name
- Karla Smith
- Title
- Director of Central Operations
- Phone
- (518) 402-4333
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Daniel a Spengler
Locations
7688 Forest Ave
Lowville, NY 13367
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | 00273840 | NY | Yes |
Addresses
Primary practice location
7688 Forest Ave
Lowville, NY 13367-1333
Mailing address
44 Holland Ave
Albany, NY 12229-0001
Phone (518) 402-4333
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01552363 | Medicaid | NY |
Other providers in Lowville, NY
- Daniel Raymond Cappon
- Diana L Carpenter
- Duane Carpenter
- Sarah Caza
- Jennifer S Cihocki
- Keri Ann Cobb
- Lucy D Cole
- Herbert Allen Condrey
- Diane M Damon
- Daniel Pisaniello, MD
All providers in Lowville, NY · Developmental Disabilities Clinic/Center in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.