FINGER LAKES DDSO - NEWARK
NPI 1679607493
Clinic/Center - Developmental Disabilities in Canandaigua, NY

Active since March 15, 2007
5259 PARKSIDE COMMONS, CANANDAIGUA, NY 14424(800) 452-4256 Get Directions Write a Review

NPPES record last updated: January 6, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Finger Lakes Ddso - Newark NPPES

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

FINGER LAKES DDSO - NEWARK (NPI 1679607493) is a healthcare organization registered as a developmental disabilities in Canandaigua, 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

NPI1679607493
Entity TypeOrganization
Primary Taxonomy261QD1600X
Legal Business NameSTATE OF NEW YORK COMPTROLLERS OFFICE
Location Address5259 PARKSIDE COMMONSCanandaigua, NY 14424-7507
Mailing Address44 Holland AveAlbany, NY 12229-0001 · (518) 402-4333
Organization SubpartYes
Authorized OfficialEarl JeffersonDirector Of Central Operations · (518) 402-4333
Enumeration DateMarch 15, 2007
Last NPPES UpdateJanuary 6, 2016
NPI 1679607493 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.).

5259 PARKSIDE COMMONS, Canandaigua, NY 14424

Other Names 1

Other NameFinger Lakes Ddso - Newark

Other Identifiers 2

Medicaid01433807NY
Medicare PINJ100173053NY

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679607493, enumerated as an "organization" on March 15, 2007.

The provider is located at 5259 PARKSIDE COMMONS CANANDAIGUA, NY 14424 and the phone number is (800) 452-4256.

Clinic/Center with taxonomy code 261QD1600X and a focus in Developmental Disabilities.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.