BROOME DDSO CLINIC (NPI# 1902939044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902939044 |
| Entity Type | Organization |
| Organization Name | BROOME DDSO CLINIC |
| Practice Address |
229-231 State St Binghamton NY 13901-2756 |
| Mailing Address |
44 Holland Ave Albany NY 12229-0001 |
| Practice Telephone | 5184024333 |
| Mailing Telephone | 5184024333 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2009-08-20 |
| Authorized Official Name | KARLA SMITH (DIRECTOR OF CENTRAL OPERATIONS) |
| Authorized Official Telephone | 5184024333 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01419121 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831223718 | Broome Ddso Clinic | Clinic/Center | 17 Midland Dr, Norwich, NY 13815-1914 | 2007-03-15 |
| Street Address |
229-231 STATE ST |
| City | BINGHAMTON |
| State | NY |
| Zip Code | 13901-2756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588614408 | Valerie K Hotchkiss | Counselor | 229-231 State St, Binghamton, NY 13901-2756 | 2006-05-11 |
| 1558880559 | Rebekah Smith Burke | Psychologist | 229-231 State St, Binghamton, NY 13901-2777 | 2017-09-12 |
| 1851607790 | Emily Mclean Johnson | Student in an Organized Health Care Education/Training Program | 229-231 State St, Binghamton, NY 13901-2758 | 2010-08-30 |
| 1265745798 | Broome County Mental Health | Clinic/Center | 229-231 State St, Binghamton, NY 13901-2756 | 2010-07-26 |
| 1649330481 | Lydia Anne Smith | Social Worker | 229-231 State St, 4th Floor, Binghamton, NY 13901-2756 | 2006-12-11 |
| 1497791289 | Sandra Marie Westgate | Social Worker | 229-231 State St, Binghamton, NY 13901-2756 | 2006-06-21 |
| 1740225671 | Jill A Meskunas-vanpelt | Social Worker | 229-231 State St, Binghamton, NY 13901-2756 | 2006-06-17 |
| 1043253297 | Esther R Mcgurrin | Social Worker | 229-231 State St, Binghamton, NY 13901-2756 | 2006-06-14 |
| 1942243613 | Kyle A Webb | Social Worker | 229-231 State St, 4th Floor, Binghamton, NY 13901-2756 | 2006-06-13 |
| 1568405009 | Kathleen Mary Kennedy | Nurse Practitioner | 229-231 State St, Broome County Mental Health, Binghamton, NY 13901-2756 | 2006-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508343450 | Michael Patrick Reistetter | Family Medicine | 17 Chenango Bridge Rd., Binghamton, NY 13901 | 2018-07-24 |
| 1003337932 | Benjamin H Fievisohn | Pharmacist | 85 Robinson At, Rite Aid Pharmacy, Binghamton, NY 13901 | 2017-06-30 |
| 1073870424 | Younis Al Kass | Internal Medicine | 35 Fernwood Lane, Binghamton, NY 13901 | 2012-04-23 |
| 1457622425 | Margaret Smith Peters | Social Worker | 221 Chenango Bridge, Binghamton, NY 13901 | 2012-01-23 |
| 1245551159 | Elizabeth Maria Camp | Speech-Language Pathologist | 810 Brotzman Rd., Binghamton, NY 13901 | 2010-06-15 |
| 1356665491 | Lauretta A Maginley | Licensed Practical Nurse | 66 Hawley St., Stafkings, Binghamton, NY 13901 | 2010-03-18 |
| 1790008159 | Sofia Kitimbo Adam | Pharmacist | 34 West State St, Binghamton, NY 13901 | 2010-03-12 |
| 1851622211 | Us Vision Optical Inc | Eyewear Supplier (Equipment, not the service) | 11-23 Court Street, Binghamton, NY 13901 | 2010-01-26 |
| 1124272034 | Janet Lynne Jones-mcguane | Occupational Therapist | 8 Hodge Avenue, Binghamton, NY 13901 | 2008-11-06 |
| 1891943395 | Carmela Gobbo Pirich | Counselor | 30 West State Street, Binghamton, NY 13901 | 2008-09-09 |
| Find all providers in zip 13901 | ||||
| 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 |
|---|---|---|---|---|
| 1316088941 | State of New York Comptrollers Office | Clinic/Center | 305 Main St, Binghamton, NY 13905-2524 | 2007-02-08 |
| 1952442592 | State of New York Comptrollers Office | Clinic/Center | 249 Glenwood Rd, Binghamton, NY 13905-1603 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861009839 | Always By Your Side, Inc. | Clinic/Center | 102 Beaumont Street, Brooklyn, NY 11235-4119 | 2020-09-24 |
| 1942861042 | Sensory Tot Spot Occupational Therapy Pllc | Clinic/Center | 24 Conifer Dr, Burnt Hills, NY 12027-9706 | 2019-06-28 |
| 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 |
| 1750877783 | Meaningful Occupational Therapy, P.C. | Clinic/Center | 21405 18th Ave Apt 3, Bayside, NY 11360-1604 | 2018-07-02 |
| 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 |
| 1306291521 | Richmond Children Center | Clinic/Center | 1291 Saw Mill River Rd, Yonkers, NY 10710-2700 | 2016-04-25 |
| 1780099606 | Sensory Heights Occupational Therapy, P.C. | Clinic/Center | 1275 81st St, Brooklyn, NY 11228-3003 | 2014-06-30 |
| Find all providers with the same taxonomy | ||||
| City | BINGHAMTON |
| Zip Code | 13901 |
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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.