Provider Demographics
NPI:1467576983
Name:NEW YORK STATE OFFICE OF THE MEDICAID INSPECTOR GENERAL
Entity Type:Organization
Organization Name:NEW YORK STATE OFFICE OF THE MEDICAID INSPECTOR GENERAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEPUTY DIRECTOR,REVENUE INITIATIVES
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:JEFF
Authorized Official - Last Name:FLORA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-402-0044
Mailing Address - Street 1:150 BROADWAY
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12204-2719
Mailing Address - Country:US
Mailing Address - Phone:518-402-0044
Mailing Address - Fax:
Practice Address - Street 1:150 BROADWAY
Practice Address - Street 2:4TH FLOOR
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12204-2719
Practice Address - Country:US
Practice Address - Phone:518-402-0044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare