| NPI | 1134579691 |
|---|---|
| Other Name | FINGER LAKES DDSO-PARKSIDE |
| Entity Type | Organization |
| Authorized Contact | EARL JEFFERSON Director Of Central Operation 518-402-4333 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: NY 00232123) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2016-06-15 |