Organization
UNITED CEREBRAL PALSY ASSOCIATION OF GREATER SUFFOLK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN H FRIEDMAN (PRESIDENT/CEO)
(631) 232-0011
Entity
Organization
Contact information
Practice address
159 CARLETON AVE, CENTRAL ISLIP, NY 11722-4172
(631) 439-4300
(631) 439-4309
Mailing address
250 MARCUS BLVD, HAUPPAUGE, NY 11788-2018
(631) 232-0011
(631) 232-0595
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
5157203R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00354921
—
NY
Enumeration date
03/30/2009
Last updated
03/30/2009
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