State of New York
State of New York is an Intellectual Disabilities Intermediate Care Facility 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
21 Hosley AveTupper Lake, NY 12986
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 00225050 (NY) |
|---|
Record details
| NPI number | 1689713372 |
|---|---|
| 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 | Sunmount Ddso Sru #2 |
| NPI enumerated | February 6, 2007 |
| Last updated in NPPES | June 25, 2008 |
| Mailing address | 44 Holland Ave, Albany, NY 12229-0001 |
Other providers in Tupper Lake
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State of New York
Route 3, Tupper Lake, NY 12986 · (518) 402-4333
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State of New York
19 Hosley Ave, Tupper Lake, NY 12986 · (518) 402-4333