State of New York Comptrollers Office

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

License

00279700 Issued in NY

Legal business name

STATE OF NEW YORK COMPTROLLERS OFFICE

Practice address

501 Fair Oak St
Little Valley, NY 14755-1120

Phone

(716) 938-6499

NPI assigned

Jun 26, 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

• Western NY DDSO - JN Adams Other name

Part of

Monroe Ddso Clinic University

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica L Reid

  • Occupational Therapist
  • Little Valley, NY
  • NPI 1235575317
  NPD (past)
• Holly S. Reslink, DPT, ATC

  • Physical Therapist
  • Little Valley, NY
  • NPI 1750636536
  NPD (past)

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

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1902034176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 HOLLAND AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122290001",
            "telephone_number": "518-402-4333",
            "fax_number": "518-483-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 FAIR OAK ST",
            "city": "LITTLE VALLEY",
            "state": "NY",
            "postal_code": "147551120",
            "telephone_number": "716-938-6499"
        }
    ],
    "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": "2009-06-26",
        "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": "00279700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western NY DDSO - JN Adams",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Thomas G Malanowski, PA
• Tiffany Marie Morton, LPN
• Leslie Pascoe
• Jessica L Reid
• Holly S. Reslink, DPT, ATC
• Nina Valler, OTR/L
• Cynthia Irene Wilson, SPECIAL INSTRUCTOR

• Developmental Disabilities Clinic/Center in Little Valley, NY
• Providers in Little Valley, 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.