# UNITED CEREBRAL PALSY ASSOC OF NYS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cerebral Palsy of NYS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518089390
- **Authorized official:** THOMAS MANDELKOW (EXEC VICE PRES)
- **Authorized official phone:** (212) 947-5770

## Contact information

- **Practice address:** 64 MADSEN AVE, STATEN ISLAND, NY 10309-2608
- **Practice address phone:** (718) 356-3324
- **Mailing address:** 330 W 34TH ST, NEW YORK, NY 10001-2406
- **Mailing address phone:** (212) 947-5770

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 315P00000X | Intellectual Disabilities Intermediate Care Facility | — | NY | Yes |

## Other

- **Enumeration date:** 04/04/2007
- **Last updated:** 09/21/2007