Organization
UCP ASSOC OF NYS
Active
Organization
UCP ASSOC OF NYS
Active
Other names
CEREBRAL PALSY ASSN OF NYS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS MANDELKOW (EXEC VICE PRES)
(212) 947-5770
Entity
Organization
Contact information
Practice address
801 CYPRESS ST, ROME, NY 13440-2129
(315) 724-6907
Mailing address
330 W 34TH ST FL 15, NEW YORK, NY 10001-2406
(212) 947-5770
(212) 356-1348
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00947324
—
NY
Enumeration date
09/17/2008
Last updated
09/17/2008
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