Organization
UNITED CEREBRAL PALSY ASSOC OF NYS
Active
Other names
Cerebral Palsy of NYS
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS MANDELKOW (EXEC VICE PRES)
(212) 947-5770
Entity
Organization
Contact information
Practice address
110-35 164TH PLACE, JAMAICA, NY 11433
(718) 658-3307
Mailing address
330 W 34TH ST # 15FL, NEW YORK, NY 10001-2406
(212) 947-5770
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01750494
—
NY
Enumeration date
04/06/2007
Last updated
09/21/2007
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