Organization
UNITED CEREBRAL PALSY ASSOCIATION OF NASSAU COUNTY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN NAIDUS (CLINIC DIRECTOR)
(516) 378-2000
Entity
Organization
Contact information
Practice address
380 WASHINGTON AVE, ROOSEVELT, NY 11575-1845
(516) 378-2000
(516) 377-2066
Mailing address
380 WASHINGTON AVE, ROOSEVELT, NY 11575-1899
(516) 378-2000
(516) 377-2066
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
280208997798
NY
261Q00000X
Clinic/Center
Primary
2950200R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00277207
—
NY
01
—
0030639
GHI PROVIDER NUMBER
NY
01
—
CJ9047
RAILROAD MEDICARE
NY
Enumeration date
07/22/2006
Last updated
12/01/2016
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