Healthcare Provider Details

I. General information

NPI: 1346710985
Provider Name (Legal Business Name): STATE OF NEW YORK COMPTROLLERS OFFICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2018
Last Update Date: 11/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 HOLLAND AVENUE 4TH FLOOR
ALBANY NY
12229-0001
US

IV. Provider business mailing address

44 HOLLAND AVENUE 4TH FLOOR
ALBANY NY
12229-0001
US

V. Phone/Fax

Practice location:
  • Phone: 518-402-4333
  • Fax:
Mailing address:
  • Phone: 518-402-4333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MARTHA DALTON
Title or Position: ASSOCIATE COMMISSIONER DES
Credential:
Phone: 518-408-2098