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TACONIC DDSO
NPI 1487906368
Intermediate Care Facility, Intellectual Disabilities in Wassaic, NY

Active since October 03, 2012
22 SINPATCH RD, WASSAIC, NY 12592(518) 402-4333(518) 408-2465 Get Directions Write a Review

NPPES record last updated: October 3, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Taconic Ddso NPPES

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

TACONIC DDSO (NPI 1487906368) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Wassaic, New York and active in the NPI registry since October 2012. The organization lists Karla Smith, Director Of Central Operations, as its authorized official.

NPPES Registry Identity

NPI1487906368
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameSTATE OF NEW YORK
Location Address22 SINPATCH RDWassaic, NY 12592-2432
Mailing Address44 Holland AveAlbany, NY 12208-3411 · (518) 402-4333
Phone(518) 402-4333
Fax(518) 408-2465
Organization SubpartYes
Authorized OfficialKarla SmithDirector Of Central Operations · (518) 402-4333
Enumeration DateOctober 3, 2012
✔ NPI 1487906368 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 · 0275791
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
22 SINPATCH RD, Wassaic, NY 12592
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Other Names 1

Other NameTaconic 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 1487906368. It was assigned to this organization in the NPPES registry on October 3, 2012. The provider is also known as Taconic Ddso.

Where is State Of New York located?

State Of New York is located at 22 Sinpatch Rd, Wassaic, NY 12592. 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 October 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.