STATE OF NEW YORK COMPTROLLERS OFFICE (NPI# 1124478805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124478805 |
| Entity Type | Organization |
| Organization Name | STATE OF NEW YORK COMPTROLLERS OFFICE |
| Other Organization Name | FINGER LAKES DDSO-220 METRO |
| Practice Address |
220 Metro Park Rochester NY 14623-2612 |
| Mailing Address |
44 Holland Ave Albany NY 12229 |
| Practice Telephone | 5184024333 |
| Mailing Telephone | 5184024333 |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2016-06-14 |
| Authorized Official Name | EARL JEFFERSON (DIRECTOR OF CENTRAL OPERATIONS) |
| Authorized Official Telephone | 5184024333 |
| Is Organization Subpart | Y |
| Parent Organization Name | STATE OF NEW YORK COMPTROLLERS OFFICE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
00232123 | NY | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Finger Lakes DDSO-220 Metro | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346710985 | State of New York Comptrollers Office | Occupational Therapist | 44 Holland Avenue 4th Floor, Albany, NY 12229-0001 | 2018-11-27 |
| 1972084366 | State of New York Comptrollers Office | Clinic/Center | Fineson Ddsoo Clinic, 80-45 Winchester Blvd Bldg 80, Queens Village, NY 11428 | 2018-08-24 |
| 1396195079 | State of New York Comptrollers Office | Clinic/Center | 40 Bermar St, Rochester, NY 14624 | 2016-06-14 |
| 1033569736 | State of New York Comptrollers Office | Clinic/Center | 144 W Main St, Phelps, NY 14532 | 2016-06-14 |
| 1396195095 | State of New York Comptrollers Office | Clinic/Center | 164 Sullivan Street, Elmira, NY 14901 | 2016-06-14 |
| 1588014260 | State of New York Comptrollers Office | Clinic/Center | 2059 E Henrietta Rd, Rochester, NY 14623-3922 | 2016-06-14 |
| 1962858316 | State of New York Comptrollers Office | Skilled Nursing Facility | N Route 9w, West Haverstraw, NY 10993-1127 | 2016-05-04 |
| 1356572739 | State of New York Comptrollers Office | Clinic/Center | 36 Owego St, Cortland, NY 13045-2918 | 2009-08-03 |
| 1811128358 | State of New York Comptrollers Office | Clinic/Center | 677 Main Street, Margaretville, NY 12455 | 2009-07-31 |
| 1679702955 | State of New York Comptrollers Office | Clinic/Center | 84 Camp Hill Rd, Copake, NY 12516-1400 | 2009-07-08 |
| Street Address |
220 METRO PARK |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14623-2612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154460848 | State of New York | Clinic/Center | 220 Metro Park, Rochester, NY 14623-2612 | 2007-02-06 |
| 1194162438 | Donyell Michelle Carter | Occupational Therapy Assistant | 220 Metro Park, Rochester, NY 14623-2612 | 2013-05-28 |
| 1780718551 | Monroe Ddso Clinic Metro Park | Clinic/Center | 220 Metro Park, Rochester, NY 14623-2612 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235637141 | Cornerstone Dental of Henrietta | Dentist | 2104 E. Henrietta Road, Rochester, NY 14623 | 2018-01-25 |
| 1770019713 | Brenna Cavanaugh | Psychologist | 200 East River Rd., Rochester, NY 14623 | 2017-05-11 |
| 1932649522 | Annette F. Cranker | Registered Nurse | 100 Groton Parkway, Rochester, NY 14623 | 2017-03-01 |
| 1588049258 | Lisa Parnell | Nurse Practitioner | 200 East River Road, Rochester, NY 14623 | 2015-07-23 |
| 1811371610 | Deanna Phoenix | Pharmacist | Elm & Carlton Streets, Main Hospital, Roswell Park Cancer Institute, Buffalo, NY 14623 | 2015-07-13 |
| 1518340801 | Erin Wong | Counselor | 945 E. Henrietta Rd, Suite 7a, Rochester, NY 14623 | 2015-07-04 |
| 1427437490 | Sarah Beren | Counselor | 115 Metro Park, Rochester, NY 14623 | 2015-05-23 |
| 1346628930 | Bohdan Klymochko | Family Medicine | 1300 Jefferson Rd Ste 100, Rochester, NY 14623 | 2015-05-14 |
| 1306242763 | Rochester Institute of Technology | Psychiatric Unit | 1 Lomb Memorial Drive, Rochester, NY 14623 | 2014-11-13 |
| 1972904423 | Jonathan Bloom | Urology | 400 White Spruce Blvd Ste B, Rochester, NY 14623 | 2014-09-15 |
| Find all providers in zip 14623 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| 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.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396195079 | State of New York Comptrollers Office | Clinic/Center | 40 Bermar St, Rochester, NY 14624 | 2016-06-14 |
| 1588014260 | State of New York Comptrollers Office | Clinic/Center | 2059 E Henrietta Rd, Rochester, NY 14623-3922 | 2016-06-14 |
| 1740455211 | Nysarc Inc | Clinic/Center | 10 Ballantyne Rd, Rochester, NY 14623-1904 | 2008-04-25 |
| 1710152699 | Nysarc Inc | Clinic/Center | 1651 Lyell Ave, Rochester, NY 14606 | 2008-04-23 |
| 1821262759 | Nysarc Inc | Clinic/Center | 2657 W Henrietta Rd, Rochester, NY 14623-2327 | 2008-04-22 |
| 1083748792 | Monroe Ddso Clinic University | Clinic/Center | 1050 University Ave, Rochester, NY 14607-1618 | 2007-03-15 |
| 1154460848 | State of New York | Clinic/Center | 220 Metro Park, Rochester, NY 14623-2612 | 2007-02-06 |
| 1265509491 | Rochester School of The Holy Childhood | Clinic/Center | 100 Groton Pkwy, Rochester, NY 14623-4540 | 2006-11-30 |
| 1457458424 | Nysarc Inc | Clinic/Center | 2060 Brighton Henrietta Town Line Rd, Rochester, NY 14623-2792 | 2006-09-20 |
| 1093272312 | Applied Behavioral Mental Health Counseling P.c | Clinic/Center | 510 Clinton Sq, Rochester, NY 14604-1700 | 2019-02-22 |
| Find all providers in ROCHESTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.