1. Home
  2. Directory
  3. New York
  4. Queens Village
  5. Intermediate Care Facility Mentally Retarded
  6. NPI Profile

STATE OF NEW YORK
NPI 1356930820
Intermediate Care Facility, Intellectual Disabilities in Queens Village, NY

Active since January 11, 2021
8045 WINCHESTER BLVD BLDG 8, QUEENS VILLAGE, NY 11427(718) 217-5767 Get Directions Write a Review

NPPES record last updated: January 11, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About State Of New York NPPES

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

STATE OF NEW YORK (NPI 1356930820) 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 2021. The organization lists Earl Raymond Jefferson, Director Of Central Operations, as its authorized official.

NPPES Registry Identity

NPI1356930820
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameSTATE OF NEW YORK
Location Address8045 WINCHESTER BLVD BLDG 8Queens Village, NY 11427-2194
Mailing Address44 Holland AveAlbany, NY 12208-3411 · (518) 402-4333
Phone(718) 217-5767
Organization SubpartYesParent: State Of New York Comptrollers Office
Authorized OfficialEarl Raymond JeffersonDirector Of Central Operations · (518) 402-4333
Enumeration DateJanuary 11, 2021
NPPES CertifiedDecember 30, 2020
✔ NPI 1356930820 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 8, Queens Village, NY 11427
Open in Google Maps ↗

Other Names 1

Other NameBernard M. Fineson Developmental Disabilities Services Office

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 1356930820. It was assigned to this organization in the NPPES registry on January 11, 2021. The provider is also known as Bernard M. Fineson Developmental Disabilities Services Office.

Where is State Of New York located?

State Of New York is located at 8045 Winchester Blvd Bldg 8, Queens Village, NY 11427. The listed phone number is (718) 217-5767.

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 11, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.