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Organization

UNITED CEREBRAL PALSY ASSOC OF NYS INC

Active
Other names
Cerebral Palsy of NYS, Constructive Partnerships Unlimited
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS MANDELKOW (EXECUTIVE VP)
(646) 235-1282
Entity
Organization

Contact information

Practice address
KOICHEFF HEALTH CARE CENTER, 2324 FOREST AVE, STATEN ISLAND, NY 10303
(718) 447-0200
(718) 981-1431
Mailing address
40 RECTOR ST FL 15, NEW YORK, NY 10006-1722
(929) 647-4796
(212) 356-1348

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03006282
NY
Enumeration date
01/03/2007
Last updated
11/18/2025
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