Provider Demographics
NPI:1508287384
Name:NEW YORK STATE DEPARTMENT OF CORRECTIONAL SERVICES
Entity Type:Organization
Organization Name:NEW YORK STATE DEPARTMENT OF CORRECTIONAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISING PHARMACIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:FERRONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-241-3100
Mailing Address - Street 1:247 HARRIS RD
Mailing Address - Street 2:
Mailing Address - City:BEDFORD HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:10507-2418
Mailing Address - Country:US
Mailing Address - Phone:914-241-3100
Mailing Address - Fax:914-241-6399
Practice Address - Street 1:247 HARRIS RD
Practice Address - Street 2:
Practice Address - City:BEDFORD HILLS
Practice Address - State:NY
Practice Address - Zip Code:10507-2418
Practice Address - Country:US
Practice Address - Phone:914-241-3100
Practice Address - Fax:914-241-6399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-23
Last Update Date:2013-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024894284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital