Organization
UNITED CEREBRAL PALSY OF NYC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VANESSA RAMIREZ (DIRECTOR)
(718) 652-9790
Entity
Organization
Contact information
Practice address
1780 STILLWELL AVENUE, BRONX, NY 10469-6409
(718) 652-9790
Mailing address
1780 STILLWELL AVENUE, BRONX, NY 10469
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
602510-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
602510-1
RN LICENSE NUMBER
NY
Enumeration date
09/23/2008
Last updated
09/23/2008
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