FINGER LAKES DDSO - NPI 1558495374 - Clinic/Center in Waterloo, NY

Q: What is Finger Lakes Ddso's NPI number?

The NPI number for Finger Lakes Ddso is 1558495374. It was assigned to this organization in the NPPES registry on March 15, 2007.

Q: What is Finger Lakes Ddso's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Finger Lakes Ddso was last updated on August 31, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

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About Finger Lakes Ddso NPPES

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

FINGER LAKES DDSO (NPI 1558495374) is a healthcare organization registered as a developmental disabilities in Waterloo, New York and active in the NPI registry since March 2007. The organization lists Karla Smith, Director Of Central Operations, as its authorized official.

NPPES Registry Identity

NPI1558495374

Entity TypeOrganization

Primary Taxonomy261QD1600X

Legal Business NameFINGER LAKES DDSO

Location Address1083 WATERLOO GENEVA RDWaterloo, NY 13165-1202

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

Phone(518) 402-4333

Organization SubpartNo

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

Enumeration DateMarch 15, 2007

Last NPPES UpdateAugust 31, 2009

✔ NPI 1558495374 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 · 00272950

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.).

1083 WATERLOO GENEVA RD, Waterloo, NY 13165

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Other Identifiers 1

Medicaid01433807NY

Other Providers at the Same Location NPPES 16

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

MRS. STACEY MARIE BOGART LCSW

Social Worker (Clinical)