NPI
State of New York Comptrollers Office
NPI 1902034176
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2009-06-26
- Last updated
- 2016-01-06
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Specialties
Licenses
- License NY
- 00279700
Location
- Practice location
- 501 Fair Oak St
- City
- Little Valley NY
- Postal code
- 14755-1120
- Phone
- (716) 938-6499
Organization contact
- Name
- Earl Jefferson
- Title
- Director of Central Operations
- Phone
- (518) 402-4333
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Little Valley, NY. 17 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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