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Organization
UNITED CEREBRAL PALSY ASSOC OF NYS
Active
Organization
UNITED CEREBRAL PALSY ASSOC OF NYS
Active
Other names
Cerebral Palsy of NYS
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS MANDELKOW (EXEC VICE PRES)
(212) 947-5770
Entity
Organization
Contact information
Practice address
64 MADSEN AVE, STATEN ISLAND, NY 10309-2608
(718) 356-3324
Mailing address
330 W 34TH ST, NEW YORK, NY 10001-2406
(212) 947-5770
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
NY
Other
Enumeration date
04/04/2007
Last updated
09/21/2007
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