Organization
UNITED CEREBRAL PALSY ASSOC OF NYS INC.
Active
Other names
CEREBRAL PALSY ASSOC OF NYS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS MANDELKOW (CHIEF FINANCIAL OFFICER)
(212) 947-5770
Entity
Organization
Contact information
Practice address
21820 104TH AVE, QUEENS VILLAGE, NY 11429-2051
(718) 776-4190
(718) 464-4849
Mailing address
330 W 34TH ST FL 15, NEW YORK, NY 10001-2406
(212) 947-5770
(212) 356-1348
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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