# UNITED CEREBRAL PALSY ASSOCIATION OF GREATER SUFFOLK, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689818403
- **Authorized official:** MR. STEPHEN H FRIEDMAN (PRESIDENT/CEO)
- **Authorized official phone:** (631) 232-0011

## Contact information

- **Practice address:** 9 SMITHS LN, COMMACK, NY 11725-3510
- **Practice address phone:** (631) 543-2338
- **Practice address fax:** (631) 543-5981
- **Mailing address:** 250 MARCUS BLVD, HAUPPAUGE, NY 11788-2018
- **Mailing address phone:** (631) 232-0011
- **Mailing address fax:** (631) 232-0595

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/23/2009
- **Last updated:** 04/23/2009