Organization · Type 2 NPI

State of New York Comptrollers Office

Developmental Disabilities Clinic/Center · Angola, NY

NPI number 1497983670 Active

Practice location

1669 Eden Evans Center Rd
Angola, NY 14006-9728

Mailing address

44 Holland Ave
Albany, NY 12229-0001

Specialties and licenses

TaxonomyCodeLicense
Developmental Disabilities Clinic/Center Primary 261QD1600X00279700 (NY)

Developmental Disabilities Clinic/Center: 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.).

About NPI 1497983670

State of New York Comptrollers Office's National Provider Identifier is 1497983670, issued on Jun 26, 2009. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Angola, NY. The record was last updated on Jan 6, 2016.