OrganizationActive
Finger Lakes Ddso
NPI 1558495374 · Developmental Disabilities Clinic/Center · Waterloo, NY
Provider details
- NPI number
- 1558495374
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Karla Smith, Director of Central Operations(518) 402-4333
- License
- 00272950 (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1083 Waterloo Geneva Rd
Waterloo, NY 13165-1202
Phone: (518) 402-4333
Approximate (ZIP-level) locationGet directions
Mailing address
44 Holland Ave
Albany, NY 12229-0001
Registry dates
- Enumerated
- 2007-03-15
- Last updated
- 2009-08-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.