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

State of New York

Organization Case Management Agency · NPI 1083899702

State of New York is a Case Management Agency in Tupper Lake, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007

Practice location Address checks out

2445 State Route 30
Tupper Lake, NY 12986-2502
Phone: (518) 457-9835
Show map & directions

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

Specialties & licences

Case Management Agency (primary) Taxonomy 251B00000X · Licence CAH00018 (NY)

Record details

NPI number1083899702
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationState of New York
Authorized official Earl Jefferson — Director Of Central Operations · (518) 402-4333
Other names Cah Sunmount Ddso
NPI enumeratedDecember 31, 2007
Last updated in NPPESJuly 21, 2015
Mailing address44 Holland Ave, Albany, NY 12229-0001