BROOME DDSO CLINIC
NPI 1831223718
Clinic/Center - Developmental Disabilities in Norwich, NY

Active since March 15, 2007
17 MIDLAND DR, NORWICH, NY 13815(518) 402-4333 Get Directions Write a Review

NPPES record last updated: August 20, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Broome Ddso Clinic NPPES

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

BROOME DDSO CLINIC (NPI 1831223718) is a healthcare organization registered as a developmental disabilities in Norwich, 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

NPI1831223718
Entity TypeOrganization
Primary Taxonomy261QD1600X
Legal Business NameBROOME DDSO CLINIC
Location Address17 MIDLAND DRNorwich, NY 13815-1914
Mailing Address44 Holland AveAlbany, NY 12229-0001 · (518) 402-4333
Organization SubpartNo
Authorized OfficialKarla SmithDirector Of Central Operations · (518) 402-4333
Enumeration DateMarch 15, 2007
Last NPPES UpdateAugust 20, 2009
NPI 1831223718 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 · 00233170
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.).
17 MIDLAND DR, Norwich, NY 13815

Other Identifiers 1

Medicaid01419121NY

Other Providers at the Same Location NPPES 3

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

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
17 MIDLAND DR
NORWICH, NY 13815
Dental Hygienist
17 MIDLAND DR
NORWICH, NY 13815
Dental Hygienist
17 MIDLAND DR
NORWICH, NY 13815

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 Broome Ddso Clinic's NPI number?

The NPI number for Broome Ddso Clinic is 1831223718. It was assigned to this organization in the NPPES registry on March 15, 2007.

Where is Broome Ddso Clinic located?

Broome Ddso Clinic is located at 17 Midland Dr, Norwich, NY 13815. The listed phone number is (518) 402-4333.

What is Broome Ddso Clinic's specialty?

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

When was this NPI record last updated?

The NPPES record for Broome Ddso Clinic was last updated on August 20, 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.