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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