CENTRAL NY DDSO - SYRACUSE
NPI 1972637684
Clinic/Center - Developmental Disabilities in Syracuse, NY

Active since March 15, 2007
4601 NIXON PARK DR, SYRACUSE, NY 13215(315) 253-6283 Get Directions Write a Review

NPPES record last updated: December 28, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Central Ny Ddso - Syracuse NPPES

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

CENTRAL NY DDSO - SYRACUSE (NPI 1972637684) is a healthcare organization registered as a developmental disabilities in Syracuse, 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

NPI1972637684
Entity TypeOrganization
Primary Taxonomy261QD1600X
Legal Business NameSTATE OF NEW YORK COMPTROLLERS OFFICE
Location Address4601 NIXON PARK DRSyracuse, NY 13215-9759
Mailing Address44 HollandAlbany, NY 12229-0001 · (518) 402-4333
Organization SubpartYes
Authorized OfficialEarl JeffersonDirector Of Central Operations · (518) 402-4333
Enumeration DateMarch 15, 2007
Last NPPES UpdateDecember 28, 2015
NPI 1972637684 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 · 00274370
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.).

4601 NIXON PARK DR, Syracuse, NY 13215

Other Names 1

Other NameCentral Ny Ddso - Syracuse

Other Identifiers 2

Medicare PINJ100173056NY
Medicaid01474799NY

Other Providers at the Same Location NPPES 4

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

Occupational Therapist
4601 NIXON PARK DR
SYRACUSE, NY 13215
Dietitian, Registered
4601 NIXON PARK DR
SYRACUSE, NY 13215
Physical Therapy Assistant
4601 NIXON PARK DR
SYRACUSE, NY 13215
Dietitian, Registered
4601 NIXON PARK DR
SYRACUSE, NY 13215

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972637684, enumerated as an "organization" on March 15, 2007.

The provider is located at 4601 NIXON PARK DR SYRACUSE, NY 13215 and the phone number is (315) 253-6283.

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.