Organization
UNITED CEREBRAL PALSY ASSOCIATIONS OF NEW YORK STATE INC
Active
Other names
CEREBRAL PALSY OF NYS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS MANDELKOW (EXECUTIVE VICE PRESIDENT)
(212) 947-5770
Entity
Organization
Contact information
Practice address
KOICHEFF HEALTH CARE CENTER DME, 2324 FOREST AVE, STATEN ISLAND, NY 10303-1506
(718) 447-8205
Mailing address
330 W 34TH ST FL 15, NEW YORK, NY 10001-2406
(212) 947-5770
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003
—
NY
05
—
00947324
—
NY
Enumeration date
05/09/2006
Last updated
09/21/2007
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