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New York State

Case Management in Rome, NY. Organization (NPI-2).

NPI number1114101599
StatusActive
Last updated in NPPESJun 25, 2008

Details

NPI
1114101599
Entity type
Organization (NPI-2)
Legal business name
New York State
Organization subpart
Yes
Enumeration date
Dec 21, 2007
Last updated
Jun 25, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251B00000X Case ManagementCAH00065NYYes

Other names

  • Cah Central New York Ddso (Other Name)

Practice location

101 W Liberty St
Rome, NY 13440-5717

Phone 518-457-9835

Mailing address

44 Holland Ave
Albany, NY 12229-0001

Authorized official

Karla Smith
Director Of Central Operations
5184024333

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