Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

State of New York

Organization Intellectual Disabilities Intermediate Care Facility · NPI 1003447012

State of New York is an Intellectual Disabilities Intermediate Care Facility in Queens Village, New York. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

8045 Winchester Blvd Bldg 08
Queens Village, NY 11427-2194
Phone: (718) 217-4242
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual Disabilities Intermediate Care Facility (primary) Taxonomy 315P00000X

Record details

NPI number1003447012
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationState of New York
Authorized official Earl Jefferson — Director Of Central Operations · (518) 402-4333
Other names Bernard Fineson Ddso
NPI enumeratedJanuary 29, 2020
Last updated in NPPESJanuary 29, 2020
Certification dateJanuary 29, 2020
Mailing address44 Holland Ave Fl 4, Albany, NY 12208-3411

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