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Organization
UNITED CEREBRAL PALSY ASSOCIATION OF GREATER SUFFOLK, INC
Active
Organization
UNITED CEREBRAL PALSY ASSOCIATION OF GREATER SUFFOLK, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANINE KLEIN (CFO)
(631) 232-0011
Entity
Organization
Contact information
Practice address
39 LAKESIDE AVE, LAKE GROVE, NY 11755-1801
(631) 232-0011
Mailing address
250 MARCUS BLVD, HAUPPAUGE, NY 11788-2018
(631) 232-0011
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00692842
—
NY
Enumeration date
02/14/2007
Last updated
07/21/2015
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