STATE OF NEW YORK
NPI 1003447012
Intermediate Care Facility, Intellectual Disabilities in Queens Village, NY

Q: What is State Of New York's NPI number?

The NPI number for State Of New York is 1003447012. It was assigned to this organization in the NPPES registry on January 29, 2020. The provider is also known as Bernard Fineson DDSO.

Q: What is State Of New York's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Q: When was this NPI record last updated?

The NPPES record for State Of New York was last updated on January 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 29, 2020

8045 WINCHESTER BLVD BLDG 08, QUEENS VILLAGE, NY 11427(718) 217-4242 Get Directions Write a Review

NPPES record last updated: January 29, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About State Of New York NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STATE OF NEW YORK (NPI 1003447012) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Queens Village, New York and active in the NPI registry since January 2020. The organization lists Earl Raymond Jefferson, Director Of Central Operations, as its authorized official.

NPPES Registry Identity

NPI1003447012

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameSTATE OF NEW YORK

Location Address8045 WINCHESTER BLVD BLDG 08Queens Village, NY 11427-2194

Mailing Address44 Holland Ave Fl 4Albany, NY 12208-3411 · (518) 402-4333

Phone(718) 217-4242

Organization SubpartYes

Authorized OfficialEarl Raymond JeffersonDirector Of Central Operations · (518) 402-4333

Enumeration DateJanuary 29, 2020

✔ NPI 1003447012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities

Taxonomy Code315P00000X

Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

8045 WINCHESTER BLVD BLDG 08, Queens Village, NY 11427

Open in Google Maps ↗

Other Names 1

Other NameBernard Fineson Ddso

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is State Of New York's NPI number?

The NPI number for State Of New York is 1003447012. It was assigned to this organization in the NPPES registry on January 29, 2020. The provider is also known as Bernard Fineson DDSO.

Where is State Of New York located?

State Of New York is located at 8045 Winchester Blvd Bldg 08, Queens Village, NY 11427. The listed phone number is (718) 217-4242.

What is State Of New York's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for State Of New York was last updated on January 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.