Organization
UNITED CEREBRAL PALSY ASSOC OF NYS INC
Active
Other names
Handicapped Childrens Assn of Southern NY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS MANDELKOW (EXEC VP)
(212) 947-5770
Entity
Organization
Contact information
Practice address
18 BROAD ST, JOHNSON CITY, NY 13790-2106
(607) 217-0066
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
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00947324
—
NY
05
—
014
—
NY
Enumeration date
01/10/2008
Last updated
01/31/2008
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