Organization
UNITED CEREBRAL PALSY ASSOCIATION OF NASSAU COUNTY, INC.
Active
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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