WESTERN NY DDSO GIFFORD AVE A
NPI 1376683367
Intermediate Care Facility, Intellectual Disabilities in Celeron, NY

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

The NPI number for State Of New York is 1376683367. It was assigned to this organization in the NPPES registry on February 7, 2007. The provider is also known as Western Ny Ddso Gifford Ave A.

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 June 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 February 07, 2007

27A GIFFORD AVE, CELERON, NY 14720(518) 402-4333 Get Directions Write a Review

NPPES record last updated: June 26, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Western Ny Ddso Gifford Ave A NPPES

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

WESTERN NY DDSO GIFFORD AVE A (NPI 1376683367) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Celeron, New York and active in the NPI registry since February 2007. The organization lists Karla Smith, Director Of Central Operations, as its authorized official.

NPPES Registry Identity

NPI1376683367

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameSTATE OF NEW YORK

Location Address27A GIFFORD AVECeleron, NY 14720

Mailing Address44 Holland AveAlbany, NY 12229-0001

Phone(518) 402-4333

Organization SubpartYes

Authorized OfficialKarla SmithDirector Of Central Operations · (518) 402-4333

Enumeration DateFebruary 7, 2007

Last NPPES UpdateJune 26, 2008

✔ NPI 1376683367 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

License✔ Licensed in NY · 00264040

Definition

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

27A GIFFORD AVE, Celeron, NY 14720

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Other Names 1

Other NameWestern Ny Ddso Gifford Ave A

Other Identifiers 1

Medicaid02558161NY

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 1376683367. It was assigned to this organization in the NPPES registry on February 7, 2007. The provider is also known as Western Ny Ddso Gifford Ave A.

Where is State Of New York located?

State Of New York is located at 27A Gifford Ave, Celeron, NY 14720. The listed phone number is (518) 402-4333.

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 June 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.