State of New York
State of New York is an Intellectual Disabilities Intermediate Care Facility in Pinebush, 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
Rr #1 Box 269BPinebush, NY 12566
Phone: (518) 402-4333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X · Licence 00271987 (NY) |
|---|
Record details
| NPI number | 1437299641 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | State of New York |
| Authorized official | Karla Smith — Director Of Central Operations · (518) 402-4333 |
| Other names | Letchworth Dc Blackhawk Icf |
| NPI enumerated | February 7, 2007 |
| Last updated in NPPES | June 26, 2008 |
| Mailing address | 44 Holland Ave, Albany, NY 12229-0001 |