Organization
UNITED CEREBRAL PALSY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAX MORAN LMSW (SOCIAL WORKER)
(718) 442-6006
Entity
Organization
Contact information
Practice address
281 PORT RICHMOND AVE, STATEN ISLAND, NY 10302-1707
(718) 442-8876
Mailing address
265 TRANTOR PL, APT 1, STATEN ISLAND, NY 10302-1942
(718) 442-8876
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
0680001
NY
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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