Provider Demographics
NPI:1972084366
Name:STATE OF NEW YORK COMPTROLLERS OFFICE
Entity Type:Organization
Organization Name:STATE OF NEW YORK COMPTROLLERS OFFICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOSCIATE COMMISSIONER
Authorized Official - Prefix:
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:DALTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-408-2098
Mailing Address - Street 1:44 HOLLAND AVE
Mailing Address - Street 2:OPWDD DIV. ENTERPRISE SOLUTIONS 4TH FL
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12229
Mailing Address - Country:US
Mailing Address - Phone:518-402-4333
Mailing Address - Fax:
Practice Address - Street 1:FINESON DDSOO CLINIC
Practice Address - Street 2:80-45 WINCHESTER BLVD BLDG 80
Practice Address - City:QUEENS VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11428
Practice Address - Country:US
Practice Address - Phone:518-402-4333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-24
Last Update Date:2018-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities