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General NPI Number Information
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NPI Number | 1992680631
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Entity Type | Organization
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Legal Business Name | STATE OF NEW YORK OFFICE OF STATE COMPTROLLER
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Dates
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Enumeration Date | 08/11/2025
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 750 BERME RD
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City | NAPANOCH
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State | NY
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Zip | 12458-2709
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Country | US
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Telephone | 518-445-6176
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Fax |
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Provider Business Mailing Address
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Address Line | 1220 WASHINGTON AVE BLDG 4
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City | ALBANY
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State | NY
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Zip | 12226-1799
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY SERVICES
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Name | RYAN QUINN PENEYRA GUILARAN
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Credential |
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Telephone | 518-445-6176
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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