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institution
State Of New York
Developmental Disabilities Clinic/Center in Rochester, New York
NPI 1154460848

State Of New York is a Developmental Disabilities Clinic/Center based in Albany, NY and is specialized in Developmental Disabilities. State Of New York practices in Rochester, NY. The NPI Number for State Of New York is 1154460848 and holds a License No. D0263008 (New York).

The current practice location address for State Of New York is 220 Metro Park, Rochester, NY and can be reached out via phone at 518-402-4333.

Location: 220 Metro Park, Rochester, NY, 12229-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154460848
Provider Name
State Of New York
Credential
Provider Entity Type
Organization
Address
220 Metro Park, Rochester, NY, 12229-0001
Phone Number
518-402-4333
Fax Number
Provider Enumeration Date
02/06/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02242973 05 NY
institution
Provider Business Practice Location Address Details
Address
220 Metro Park
City
Rochester
State
New York
Zip
14623-2612
Phone Number
518-402-4333
Fax Number
person
Provider Business Mailing Address Details
Address
220 Metro Park
City
Rochester
State
New York
Zip
14623-2612
Phone Number
518-402-4333
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
D0263008 (New York)
Definition
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.).
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