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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
MR. THOMAS MANDELKOW (EXEC VICE PRES)
(212) 947-5770
Entity
Organization
Contact information
Practice address
2918 21ST ST, ASTORIA, NY 11102-3631
(718) 278-7039
Mailing address
330 W 34TH ST # 15FL, NEW YORK, NY 10001-2406
(212) 947-5770
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00776141
—
NY
Enumeration date
04/04/2007
Last updated
09/21/2007
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