Organization
UNITED CEREBRAL PALSY ASSOC OF NYS INC.
Active
Other names
Cerebral Palsy of NYS
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS MANDELKOW (EXEC VP)
(212) 947-5770
Entity
Organization
Contact information
Practice address
QUEENS HEALTH CARE CENTER, 51-40 59TH STREET, WOODSIDE, NY 11377
(718) 639-2931
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
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008
—
NY
05
—
00947324
—
NY
Enumeration date
12/26/2006
Last updated
01/31/2008
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