BROOME DDSO - CLINIC
NPI 1215061080
Clinic/Center - Developmental Disabilities in Ithaca, NY

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

Active since March 15, 2007

1257 TRUMANSBURG RD, ITHACA, NY 14850(607) 273-0811 Get Directions Write a Review

NPPES record last updated: January 6, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Broome Ddso - Clinic NPPES

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

BROOME DDSO - CLINIC (NPI 1215061080) is a healthcare organization registered as a developmental disabilities in Ithaca, New York and active in the NPI registry since March 2007. The organization lists Earl Jefferson, Director Of Central Operations, as its authorized official.

NPPES Registry Identity

NPI1215061080

Entity TypeOrganization

Primary Taxonomy261QD1600X

Legal Business NameSTATE OF NEW YORK COMPTROLLERS OFFICE

Location Address1257 TRUMANSBURG RDIthaca, NY 14850-1313

Mailing Address44 Holland AveAlbany, NY 12229-0001 · (518) 402-4333

Phone(607) 273-0811

Organization SubpartYes

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

Enumeration DateMarch 15, 2007

Last NPPES UpdateJanuary 6, 2016

✔ NPI 1215061080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities

Taxonomy Code261QD1600X

License✔ Licensed in NY · 00233170

Definition

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

1257 TRUMANSBURG RD, Ithaca, NY 14850

Open in Google Maps ↗

Other Names 1

Other NameBroome Ddso - Clinic

Other Identifiers 2

Medicare PINJ100173056NY

Medicaid01419121NY

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. AMELIA R MASSI

Physical Therapist

1257 TRUMANSBURG RD
ITHACA, NY 14850

Tompkins County (607) 273-0811

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 Comptrollers Office's NPI number?

The NPI number for State Of New York Comptrollers Office is 1215061080. It was assigned to this organization in the NPPES registry on March 15, 2007. The provider is also known as Broome Ddso - Clinic.

Where is State Of New York Comptrollers Office located?

State Of New York Comptrollers Office is located at 1257 Trumansburg Rd, Ithaca, NY 14850. The listed phone number is (607) 273-0811.

What is State Of New York Comptrollers Office's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for State Of New York Comptrollers Office was last updated on January 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.