Organization
UNITED CEREBRAL PALSY ASSOCIATION OF GREATER SUFFOLK, INC.
Active
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
Update your record
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